Psych Up to Wellness, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PSYCH UP TO WELLNESS, PLLC

Practice address

3157 Farnam Street
Suite 7104 PMB 7157
Omaha, NE 68131

Phone

(402) 982-4300

Fax

(402) 982-4400

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Kathleen Kraft, PMHNP-C, ANP-C

Title

Owner

Phone

(810) 531-8239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1477219830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 RICHARDS DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480607238",
            "telephone_number": "810-531-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 FARNAM STREET",
            "address_2": "SUITE 7104 PMB 7157",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68131",
            "telephone_number": "402-982-4300",
            "fax_number": "402-982-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH UP TO WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-531-8239",
        "authorized_official_credential": "PMHNP-C, ANP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychological Healing Insights,PC

• Adult Mental Health Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.