NPIMap

Organization Active NPI

Behavioral Pediatric & Family Therapy Program, LLC

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1336224971
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
263 Issued in NE
Legal business name
BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM, LLC
Practice address
1520 South 70TH Street
Suite 200
Lincoln, NE 68506-1566
Phone
(402) 483-1936
Fax
(402) 483-7314
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Jami Givens, PH.D.
Title
Member
Phone
(402) 483-1936

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2497 NE
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 552 NE
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 461 NE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 636 NE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 477 NE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 527 NE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 263 NE Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 469 NE
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2811 NE

Addresses

Primary practice location

1520 South 70TH Street
Suite 200
Lincoln, NE 68506-1566

Mailing address

1520 South 70TH Street
Suite 200
Lincoln, NE 68506-1566
Phone (402) 483-1936

Other identifiers 1

IdentifierTypeStateIssuer
47080115226MedicaidNE

Other names 1

  • BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM Doing business as

National Provider Directory

National Provider Directory

Locations

4501 S 70th St
Ste 120
Lincoln, NE 68516
Phone (402) 483-1936

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1336224971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SOUTH 70TH STREET",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061566",
            "telephone_number": "402-483-1936",
            "fax_number": "402-483-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SOUTH 70TH STREET",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061566",
            "telephone_number": "402-483-1936",
            "fax_number": "402-483-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-09-08",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "402-483-1936",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2497",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "552",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NE",
            "license": "461",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "636",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "477",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "527",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "263",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "469",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NE",
            "license": "2811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080115226",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.