Organization Active NPI

Your Path Psychiatric and Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1396566642
Registry record updated Feb 12, 2025
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
YOUR PATH PSYCHIATRIC AND MENTAL HEALTH LLC
Practice address
4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940
Phone
(515) 988-6294
Fax
(877) 684-6190
NPI assigned
Oct 21, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
John Ramsey, APRNNPI 1013558287
Title
Owner/NP
Phone
(515) 988-6294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940

Mailing address

4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940
Phone (531) 222-2486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260402001781 NE Part B Supplier - Clinic/Group Practice 4587149901 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

4905 S 107th Ave
Ste 200
Omaha, NE 68127
Phone (402) 243-1526

Practitioners & affiliated clinicians

Practitioners 1

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1396566642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271940",
            "telephone_number": "531-222-2486",
            "fax_number": "866-561-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271940",
            "telephone_number": "515-988-6294",
            "fax_number": "877-684-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PATH PSYCHIATRIC AND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "515-988-6294",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.