NPIMap

Organization Active NPI

Katherinezupancicmacpclpcpc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1447316757
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
301 & 397 Issued in NE
Legal business name
KATHERINEZUPANCICMACPCLPCPC
Practice address
301 S 13TH St
Suite 200
Lincoln, NE 68508-2537
Phone
(402) 476-3002
Fax
(402) 476-3002
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Carmen Joyce Sandell, RETIRED R.N.
Title
Assistant Office Manager
Phone
(402) 476-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 301 & 397 NE Primary

Addresses

Primary practice location

301 S 13TH St
Suite 200
Lincoln, NE 68508-2537

Mailing address

301 S 13TH St
Suite 200
Lincoln, NE 68508-2537
Phone (402) 476-3002

Other identifiers 2

IdentifierTypeStateIssuer
84413OtherNEBCBS
MHS093572OtherNEVALUE OPTIONS

National Provider Directory

National Provider Directory

Locations

301 S 13th St
Ste 200
Lincoln, NE 68508
Phone (402) 476-3002

Practitioners & affiliated clinicians

Practitioners 4

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1447316757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082537",
            "telephone_number": "402-476-3002",
            "fax_number": "402-476-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082537",
            "telephone_number": "402-476-3002",
            "fax_number": "402-476-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINEZUPANCICMACPCLPCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "402-476-3002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RETIRED R.N."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "301 & 397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84413",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "MHS093572",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.