Organization Active NPI

Hines Psychotherapy Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Sioux City, NE
National Provider Identifier
1649450859
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2541 (MHP) Issued in NE
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

Updated by the provider on Nov 11, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6570263MedicaidSD
82575OtherBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.