NPIMap

Organization Active NPI

Center for Psychological Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kearney, NE
National Provider Identifier
1285604637
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTER FOR PSYCHOLOGICAL SERVICES PC
Practice address
4111 4TH Avenue
Suite 32
Kearney, NE 68845-2884
Phone
(308) 234-6029
Fax
(308) 237-4792
NPI assigned
Jan 26, 2006
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jesica Vickers, LMHPNPI 1992090294
Title
President
Phone
(308) 234-6029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4111 4TH Avenue
Suite 32
Kearney, NE 68845-2884

Mailing address

PO Box 2583
Kearney, NE 68848-2583
Phone (308) 234-6029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1285604637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688482583",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 4TH AVENUE",
            "address_2": "SUITE 32",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452884",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JESICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-234-6029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.