NPIMap

Organization Active NPI

Forensic Behavioral Health, Inc.

  • Clinical Psychologist
  • Papillion, NE
National Provider Identifier
1366773095
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
567 Issued in NE
Legal business name
FORENSIC BEHAVIORAL HEALTH, INC.
Practice address
1410 E Gold Coast Rd
Suite 800
Papillion, NE 68046-5799
Phone
(402) 557-6027
Fax
(402) 557-6028
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. Kirk Allen Brunswig Newring, PH.D.NPI 1073768420
Title
Owner
Phone
(402) 557-6027

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1045 NE
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 567 NE Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 506 NE
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 149 NE

Addresses

Primary practice location

1410 E Gold Coast Rd
Suite 800
Papillion, NE 68046-5799

Mailing address

1410 E Gold Coast Rd
Suite 800
Papillion, NE 68046-5799
Phone (402) 557-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000989 NE Part B Supplier - Clinic/Group Practice 0446389936 Receives reassigned benefits from 1 practitioner
Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Locations

1410 E Gold Coast Rd
Ste 300
Papillion, NE 68046
Phone (402) 557-6027

1410 E Gold Coast Rd
Ste 800
Papillion, NE 68046
Phone (402) 557-6027

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1366773095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E GOLD COAST RD",
            "address_2": "SUITE 800",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465799",
            "telephone_number": "402-557-5027",
            "fax_number": "402-557-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E GOLD COAST RD",
            "address_2": "SUITE 800",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465799",
            "telephone_number": "402-557-6027",
            "fax_number": "402-557-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "NEWRING",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ALLEN BRUNSWIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-557-6027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1045",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "567",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "506",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.