Span Psychiatry Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPAN PSYCHIATRY SERVICES PC

Practice address

914 Baumann Dr
Grand Island, NE 68803-4401

Phone

(308) 395-1035

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Navdeep Sood

Title

Owner

Phone

(308) 395-1035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1659909117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PONDEROSA DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BAUMANN DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034401",
            "telephone_number": "308-395-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "NE",
            "postal_code": "683702019",
            "country_code": "US",
            "telephone_number": "402-768-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPAN PSYCHIATRY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "NAVDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-395-1035"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine E Sorge, RN
• Jennifer L Soria, PA
• Veronica J Soto
• Grace Lynn Souerdyke, OT
• Wendy South, PHARMD
• Specialized Outpatient Services
• Specialized Outpatient Services
• Sarah Spellbrink, LIMHP
• Andrew Spencer
• Denise Spencer

• Psychiatry Physician in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.