Michelle Medina

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

3747P1801X Issued in NE

Practice address

12103 S 29TH St
Bellevue, NE 68123-1404

Phone

(909) 246-8896

NPI assigned

Feb 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Compassionate Services and Consulting LLC

  • Developmental Disabilities Clinic/Center
  • Omaha, NE
  • NPI 1245988229
  NPD

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1891500708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442385",
            "telephone_number": "531-999-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12103 S 29TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231404",
            "telephone_number": "909-246-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NE",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Meade, DPT
• Shavon Kay Meadows
• Brittney Meays Haskovic, MS
• Latasha Medeiros
• Medical Anesthesia Associates PC
• Sadie Rae Meharg
• Elizabeth Meisinger, PT, DPT
• Darcy L Meister
• Marissa Meister
• Jennifer Mejia- Mayo

• Health Service Psychologist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Health Service Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.