Evans Psychological

LBN: Evans Psychological
Evans Psychological is an health care organization with primary practice located at 12728 Augusta Ave Ste 150, Omaha NE 68144-3754. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Evans Psychological can be contacted via phone (402) 330-1537, or through Evans, Timothy C via phone (402) 330-1537.

Contact Information

Primary practice address
12728 Augusta Ave Ste 150 Omaha NE 68144-3754
Phone: (402) 330-1537
Fax: (402) 330-9331
Website:
Map and Directions
Authorized official contact:
Name: Evans, Timothy C PHD
Phone: (402) 330-1537

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 77 Nebraska

Profile Details

NPI number 1982885968
LBN Legal business name Evans Psychological
DBA Doing business as
Authorized official Evans, Timothy C PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982885968 NPPES
Nebraska MEDICAID 47078906000

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