| Kindred Psychology | |
|
8001 S 15th St Ste C Lincoln NE 68512-9617 | |
| (402) 483-7900 | |
| Not Available |
| Full Name | Kindred Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 8001 S 15th St Ste C, Lincoln, Nebraska |
| Authorized Official Name and Position | Camie Lynn Nitzel (FOUNDER/OWNER) |
| Authorized Official Contact | 4024837900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Psychology 8001 S 15th St Ste C Lincoln NE 68512-9617 Ph: (402) 483-7900 | Kindred Psychology 8001 S 15th St Ste C Lincoln NE 68512-9617 Ph: (402) 483-7900 |
| NPI Number | 1396215125 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Medicare PECOS PAC ID | 0446596134 |
|---|---|
| Medicare Enrollment ID | O20190117001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396215125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Stephanie R Engelbart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265615777 PECOS PAC ID: 0446560452 Enrollment ID: I20151103002504 |
| Provider Name | Camie L Nitzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124120621 PECOS PAC ID: 1254677941 Enrollment ID: I20190117001545 |
| Provider Name | Rachel M Oxley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124523113 PECOS PAC ID: 3072949205 Enrollment ID: I20200207000387 |
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