NPIMap

Organization Active NPI

Father Flanagan's Boys Home

Doing business as Boys Town Behavioral Health Clinic East

  • Psychologist
  • Omaha, NE
National Provider Identifier
1447622923
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FATHER FLANAGAN'S BOYS HOME
Doing business as
Boys Town Behavioral Health Clinic East
Practice address
5074 Ames Ave
Omaha, NE 68104-2323
Phone
(402) 498-3358
Fax
(402) 498-3375
NPI assigned
Oct 23, 2015
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Bridgette Renbarger
Title
Cfo
Phone
(531) 355-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

5074 Ames Ave
Omaha, NE 68104-2323

Mailing address

5074 Ames Ave
Omaha, NE 68104-2323
Phone (531) 355-3025

Other identifiers 2

IdentifierTypeStateIssuer
10026330000MedicaidNE
10026370000MedicaidNE

Other names 1

  • Boys Town Behavioral Health Clinic East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Byrne Thomas M MD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13460 Walsh Dr
Boys Town, NE 68010
Phone (531) 355-3358

16929 Frances St
Ste 101
Omaha, NE 68130
Phone (402) 758-5125

5074 Ames Ave
Omaha, NE 68104
Phone (531) 355-3025

Practitioners & affiliated clinicians

Practitioners 3

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": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1447622923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "531-355-3025",
            "fax_number": "531-355-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "402-498-3358",
            "fax_number": "402-498-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER FLANAGAN'S BOYS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "RENBARGER",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "531-355-3121"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026330000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026370000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Town Behavioral Health Clinic East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2025; 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.