Organization Active NPI

Psychiatric Hope

  • Psychiatric/Mental Health Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1437824992
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCHIATRIC HOPE
Practice address
321 E 3Rd St
North Platte, NE 69101-4032
Phone
(308) 221-4651
Fax
(308) 217-1643
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Jose Sabala
Title
Administrator
Phone
(308) 520-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

321 E 3Rd St
North Platte, NE 69101-4032

Mailing address

321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 221-4651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210917002074 NE Part B Supplier - Clinic/Group Practice 0547667578 Receives reassigned benefits from 3 practitioners
Practice locations: North Platte, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2320747Psychiatric Hope321 E 3Rd St, North Platte, NE 69101Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

321 E 3rd St
North Platte, NE 69101
Phone (308) 221-4651

Practitioners & affiliated clinicians

Practitioners 3

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": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1437824992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-221-4651",
            "fax_number": "308-217-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-221-4651",
            "fax_number": "308-217-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SABALA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-520-5880"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.