NPIMap

Organization Active NPI

Fremont Psychiatric Services

  • Psychiatry Physician
  • Fremont, NE
National Provider Identifier
1912939091
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20931 Issued in NE
Legal business name
FREMONT PSYCHIATRIC SERVICES
Practice address
710 Reynolds Rd
Fremont, NE 68025-2300
Phone
(402) 721-6068
Fax
(402) 727-7628
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Mohammad Schoiab, M.D.
Title
President
Phone
(402) 721-6068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 20931 NE Primary

Addresses

Primary practice location

710 Reynolds Rd
Fremont, NE 68025-2300

Mailing address

710 Reynolds Rd
Fremont, NE 68025-2300
Phone (402) 721-6068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1912939091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS RD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-721-6068",
            "fax_number": "402-727-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS RD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-721-6068",
            "fax_number": "402-727-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "SCHOIAB",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-721-6068",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "20931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.