Organization Active NPI

Defy the Cycle LLC

Doing business as Defy the Cycle

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1417542630
Registry record updated Mar 9, 2021
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
DEFY THE CYCLE LLC
Doing business as
Defy the Cycle
Practice address
4535 Normal Blvd Ste 295
Lincoln, NE 68506-2890
Phone
(402) 853-6686
Fax
(888) 972-3644
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Amber Zeisler, PSYDNPI 1013996966
Title
Psychologist
Phone
(402) 853-6686

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4535 Normal Blvd Ste 295
Lincoln, NE 68506-2890

Mailing address

4535 Normal Blvd Ste 295
Lincoln, NE 68506-2890
Phone (402) 853-6686

Other identifiers 1

IdentifierTypeStateIssuer
1013996966OtherNPI

Other names 1

  • Defy the Cycle Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210921000464 NE Part B Supplier - Clinic/Group Practice 2365849205 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

1001 S 70th St
Ste 102
Lincoln, NE 68510
Phone (402) 809-5723

4535 Normal Blvd
Ste 295
Lincoln, NE 68506
Phone (402) 853-6686

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1417542630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 295",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-853-6686",
            "fax_number": "888-972-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 295",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-853-6686",
            "fax_number": "888-972-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFY THE CYCLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ZEISLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-853-6686",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013996966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defy the Cycle",
            "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 Mar 9, 2021; 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.