Midwest Brain Training Institute

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIDWEST BRAIN TRAINING INSTITUTE

Practice address

11711 Arbor St Ste 240D
Omaha, NE 68144-2979

Phone

(402) 478-8758

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

CJ Poole, PLMHP

Title

Owner

Phone

(402) 478-8758

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• CJ Hatfield, LIMHP, LICMSW

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1427621408
  NPD

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1780356113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CRYSTAL CREEK DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 ARBOR ST STE 240D",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442979",
            "telephone_number": "402-478-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BRAIN TRAINING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "CJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-478-8758",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.