| Metro Integrative Psychiatric Care Pc | |
|
11717 Burt St Ste 203 Omaha NE 68154-1500 | |
| (402) 302-2775 | |
| (833) 471-4570 |
| Full Name | Metro Integrative Psychiatric Care Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11717 Burt St Ste 203, Omaha, Nebraska |
| Authorized Official Name and Position | Salina Anderson (PRESIDENT) |
| Authorized Official Contact | 4023022775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Integrative Psychiatric Care Pc 11717 Burt St Ste 203 Omaha NE 68154-1500 Ph: (402) 302-2775 | Metro Integrative Psychiatric Care Pc 11717 Burt St Ste 203 Omaha NE 68154-1500 Ph: (402) 302-2775 |
| NPI Number | 1457006157 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Medicare PECOS PAC ID | 6103369673 |
|---|---|
| Medicare Enrollment ID | O20240625002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457006157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Salina V Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629461140 PECOS PAC ID: 2860719762 Enrollment ID: I20150401002104 |
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