| Optum Behavioral Care Of Ohio, Inc | |
|
1941 S 42nd St Ste 328 Omaha NE 68105-2943 | |
| (402) 614-8444 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Ohio, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1941 S 42nd St Ste 328, Omaha, Nebraska |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6088542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Ohio, Inc 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (608) 854-2929 | Optum Behavioral Care Of Ohio, Inc 1941 S 42nd St Ste 328 Omaha NE 68105-2943 Ph: (402) 614-8444 |
| NPI Number | 1033985726 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 7719325083 |
|---|---|
| Medicare Enrollment ID | O20241018003176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033985726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jacquelyn R Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780879916 PECOS PAC ID: 3072609767 Enrollment ID: I20071010000627 |
| Provider Name | Jennifer L Lindner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922203793 PECOS PAC ID: 1850487554 Enrollment ID: I20071010000755 |
| Provider Name | Elizabeth A Morell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952685992 PECOS PAC ID: 8123291978 Enrollment ID: I20111024000370 |
| Provider Name | Joshua Needelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194036079 PECOS PAC ID: 8123206737 Enrollment ID: I20140123000493 |
| Provider Name | Sepehr Khalili-tari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497263958 PECOS PAC ID: 7315382231 Enrollment ID: I20240301002371 |
| Provider Name | Samantha Marie Baumert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033712922 PECOS PAC ID: 5395182851 Enrollment ID: I20240320002555 |
| Provider Name | Debra Kay Raasch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740504802 PECOS PAC ID: 7214375005 Enrollment ID: I20240328003343 |
| Provider Name | Ruth Helen Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396128500 PECOS PAC ID: 5597103630 Enrollment ID: I20240409001051 |
| Provider Name | David Jal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609553874 PECOS PAC ID: 1759720550 Enrollment ID: I20240412001804 |
| Provider Name | Dana Ritterbush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144362641 PECOS PAC ID: 4486189941 Enrollment ID: I20241121001675 |
| Provider Name | Carolyn Louise Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003483884 PECOS PAC ID: 3870028608 Enrollment ID: I20241203000931 |
| Provider Name | Robert Travis Brock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023414331 PECOS PAC ID: 5890215578 Enrollment ID: I20250225002259 |
| Provider Name | Jessica Lynette Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699555243 PECOS PAC ID: 3779004460 Enrollment ID: I20250311001166 |
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