Organization Active NPI

Encore Pediatrics of Nebraska, LLC

  • Behavior Analyst
  • Lincoln, NE
National Provider Identifier
1871200683
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Aug 21, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.