NPIMap

Organization Active NPI

Full Circle Psychiatric Services LLC

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1790177491
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
FULL CIRCLE PSYCHIATRIC SERVICES LLC
Practice address
8101 O St
Ste 118
Lincoln, NE 68510-2647
Phone
(402) 217-9098
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Deanne Isaacson, PACNPI 1437199262
Title
Owner
Phone
(402) 217-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

8101 O St
Ste 118
Lincoln, NE 68510-2647

Mailing address

8101 O St
Ste 118
Lincoln, NE 68510-2647
Phone (402) 217-9098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1790177491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "STE 118",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-217-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "STE 118",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-217-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-217-2020",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.