Organization Active NPI

Im Hebrank Psychotherapy

  • Adult Mental Health Clinic/Center
  • Bellevue, NE
National Provider Identifier
1508328733
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
IM HEBRANK PSYCHOTHERAPY
Practice address
1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980
Phone
(402) 541-9698
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Ida Marie Hebrank, LIMHP, CMSW, LADC
Title
Owner
Phone
(402) 541-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980

Mailing address

1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980
Phone (402) 541-9698

National Provider Directory

National Provider Directory

Locations

1406 Fort Crook Rd S
Ste 401
Bellevue, NE 68005
Phone (402) 292-7712

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": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1508328733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S STE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052980",
            "telephone_number": "402-541-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S STE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052980",
            "telephone_number": "402-541-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM HEBRANK PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "HEBRANK",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-541-9698",
        "authorized_official_credential": "LIMHP, CMSW, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.