NPIMap

Organization Active NPI

St. Monica's

  • Substance Abuse Rehabilitation Facility
  • Lincoln, NE
National Provider Identifier
1629120191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SATC102 Issued in NE
Legal business name
ST. MONICA'S
Practice address
120 Wedgewood Dr
Lincoln, NE 68510-2431
Phone
(402) 441-3768
Fax
(402) 441-3770
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mary Barry-Magsamen
Title
Executive Director
Phone
(402) 441-3767

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SATC024 NE
Substance Abuse Rehabilitation Facility 324500000X SATC077 NE
Substance Abuse Rehabilitation Facility 324500000X SATC063 NE
Substance Abuse Rehabilitation Facility 324500000X SATC102 NE Primary

Addresses

Primary practice location

120 Wedgewood Dr
Lincoln, NE 68510-2431

Mailing address

120 Wedgewood Dr
Lincoln, NE 68510-2431
Phone (402) 441-3768

Other identifiers 3

IdentifierTypeStateIssuer
100252179-00MedicaidNE
100253821-00MedicaidNE
100253488-00MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
St Monica's2 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.

Locations

120 Wedgewood Dr
Lincoln, NE 68510
Phone (402) 441-3768

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629120191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEDGEWOOD DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102431",
            "telephone_number": "402-441-3768",
            "fax_number": "402-441-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEDGEWOOD DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102431",
            "telephone_number": "402-441-3768",
            "fax_number": "402-441-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MONICA'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRY-MAGSAMEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-441-3767"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC024",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC077",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC063",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252179-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253821-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253488-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, 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.