Pettitt Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

PETTITT BEHAVIORAL HEALTH, LLC

Practice address

100 W Norfolk Ave
Norfolk, NE 68701-5340

Phone

(402) 379-0122

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Rhonda Pettitt, NPNPI 1558617381

Title

Owner

Phone

(402) 649-5671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

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

• Rhonda S Pettitt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, NE
  • NPI 1558617381
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1396104618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015340",
            "telephone_number": "402-379-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015340",
            "telephone_number": "402-379-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTITT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PETTITT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-649-5671",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Peterson
• Lorissa Peterson
• Natasha Peterson
• Mary Kathryn Petta, APRN-CNS
• William J Petta, DDS
• Rhonda S Pettitt, APRN
• Jessica Leigh Peyregne, PLMHP
• Jennifer Marie Pfaff
• Alison Erin Pfeifer, PTA
• Kayla Sue Pfeifer, B.S.

• Psychiatric/Mental Health Clinical Nurse Specialist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.