Panhandle Mental Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SATC097 Issued in NE

Legal business name

PANHANDLE MENTAL HEALTH CENTER

Practice address

321 Flack Ave
Alliance, NE 69301-3511

Phone

(308) 762-2545

Fax

(308) 762-2564

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Laura Richards

Title

Executive Director

Phone

(308) 635-3171

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1780723858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614650",
            "telephone_number": "308-635-3171",
            "fax_number": "308-635-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FLACK AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013511",
            "telephone_number": "308-762-2545",
            "fax_number": "308-762-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-635-3171"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "SATC097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025218200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025008000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Oetken
• Alex Opp
• Megan Jane Marie Ostermiller
• Sandra Oswald
• Jessica Ann Ott, M.D
• Pathways to Hope Counseling and Therapy
• Meriah Pedersen
• Kayla Perez
• Brandon Petty
• Tamra L Petty

• Community/Behavioral Health Agency in Alliance, NE
• Providers in Alliance, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.