Mary P Haskins, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1369 Issued in NE

Legal business name

MARY P HASKINS, LLC

Practice address

1239 N Park Ave
Fremont, NE 68025-4172

Phone

(402) 727-4886

Fax

(402) 727-4146

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mary P Haskins, LCSW, LMHP, LADC

Title

Licensed Clinical Social Worker

Phone

(402) 727-4886

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mary P Haskins LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mary P Haskins LLC

  • Clinical Social Worker
  • Fremont, NE
  • NPI 1184055568
  NPD tax ID

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1558670281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 N PARK AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254172",
            "telephone_number": "402-727-4886",
            "fax_number": "402-727-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 N PARK AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254172",
            "telephone_number": "402-727-4886",
            "fax_number": "402-727-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY P HASKINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "402-727-4886",
        "authorized_official_credential": "LCSW, LMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025687100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Jacqueline Martinez- Troy
• Cherie R Martinez, PA-C
• Jacqueline Martinez
• Racheal Alicia Martinez
• Mary P Haskins LLC
• Taira Michelle Masek, LMHP
• Gary W. May, D.D.S.
• Crystal Lynn Maynard
• Jarred N Maynard
• Emily R McCarthy, D.D.S.

• Community/Behavioral Health Agency in Fremont, NE
• Providers in Fremont, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.