Active NPI
Hines Psychotherapy Services, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Sioux City, NE
National Provider Identifier
1649450859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 2541 (MHP)
- Legal business name
- HINES PSYCHOTHERAPY SERVICES, INC.
- Practice address
- 3900 Dakota Ave Ste 4a
South Sioux City, NE 68776-3696 - Phone
- (402) 412-2000
- Fax
- (402) 412-2001
- NPI assigned
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy J. Hines, MSW
- Title
- President
- Phone
- (402) 412-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 2541 (MHP) | NE | Primary |
Addresses
Primary practice location
3900 Dakota Ave Ste 4a
South Sioux City, NE 68776-3696
Mailing address
3900 Dakota Ave Ste 4a
South Sioux City, NE 68776-3696
Phone (402) 412-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6570263 | Medicaid | SD | |
| 82575 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
3900 Dakota Ave
Ste 4A
South Sioux City, NE 68776
Phone (402) 412-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320969600000",
"number": "1649450859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE STE 4A",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-412-2000",
"fax_number": "402-412-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE STE 4A",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-412-2000",
"fax_number": "402-412-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HINES PSYCHOTHERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2011-11-11",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-412-2000",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NE",
"license": "2541 (MHP)",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6570263",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82575",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.