NPIMap

Organization Active NPI

Panhandle Mental Health Center Day Treatment

  • Community/Behavioral Health Agency
  • Scottsbluff, NE
National Provider Identifier
1467592063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
89 Issued in NE
Legal business name
PANHANDLE MENTAL HEALTH CENTER DAY TREATMENT
Practice address
3701 Avenue D
Suite 200
Scottsbluff, NE 69361-4771
Phone
(308) 632-4412
Fax
(308) 632-2326
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharyn Wohlers
Title
Director
Phone
(308) 635-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 89 NE Primary

Addresses

Primary practice location

3701 Avenue D
Suite 200
Scottsbluff, NE 69361-4771

Mailing address

4110 Avenue D
Scottsbluff, NE 69361-4650
Phone (308) 635-3171

Other identifiers 1

IdentifierTypeStateIssuer
10025265500MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Panhandle Mental Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467592063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614650",
            "telephone_number": "308-635-3171",
            "fax_number": "308-635-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 AVENUE D",
            "address_2": "SUITE 200",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614771",
            "telephone_number": "308-632-4412",
            "fax_number": "308-632-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE MENTAL HEALTH CENTER DAY TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOHLERS",
        "authorized_official_first_name": "SHARYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "308-635-3171"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025265500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.