Doretta Janna Brookins

Individual provider Active NPI Community/Behavioral Health Agency · Lincoln, NE

NPI 1861907602 · NPPES record last updated Dec 1, 2017

Key facts

NPI
1861907602
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
1645 N St
Lincoln, NE 68508-1824
Phone
(402) 208-2105
Fax
(402) 441-4435
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Families Inspiring Families Community/Behavioral Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1645 N St
Lincoln, NE 68508-1824

Mailing address

1645 N St
Lincoln, NE 68508-1824
Phone (402) 208-2105

Other providers in Lincoln, NE

All providers in Lincoln, NE · Community/Behavioral Health Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.