Active NPI
Encore Pediatrics of Nebraska, LLC
- Behavior Analyst
- Lincoln, NE
National Provider Identifier
1871200683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ENCORE PEDIATRICS OF NEBRASKA, LLC
- Practice address
- 200 S 21St St Ste 400a
Lincoln, NE 68510-1044 - Phone
- (866) 925-8505
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Cotcher
- Title
- Evp of Pediatrics
- Phone
- (248) 672-2593
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
200 S 21St St Ste 400a
Lincoln, NE 68510-1044
Mailing address
33533 W 12 Mile Rd Ste 290
Farmington Hills, MI 48331-5635
Phone (866) 925-8505
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1871200683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33533 W 12 MILE RD STE 290",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315635",
"telephone_number": "866-925-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 21ST ST STE 400A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101044",
"telephone_number": "866-925-8505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCORE PEDIATRICS OF NEBRASKA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "COTCHER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "EVP OF PEDIATRICS",
"authorized_official_telephone_number": "248-672-2593",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.