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ALIVATION HEALTH LLC NPI 1710917448


NPI Information

NPI: 1710917448
Provider Name: ALIVATION HEALTH, LLC

Former Legal Business Name: PREMIER PSYCHIATRIC GROUP, LLC

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
8550 CUTHILLS CIRCLE
LINCOLN, NE
ZIP 68526
Phone: (402) 476-6060
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ALIVATION HEALTH, LLC is a psychiatry psychiatry neurology in Lincoln, NE. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ALIVATION HEALTH, LLC NPI is 1710917448. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Premier Psychiatric Group, Llc.

The provider's business location address is:

8550 CUTHILLS CIRCLE
LINCOLN, NE
ZIP 68526-467
Phone: (402) 476-6060
Fax: (402) 476-6809

The provider's authorized official is Walter J. Duffy .
The authorized official title is Owner/ceo and has the following contact phone number (402) 476-6060.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025071300MEDICAIDNEBRASKA
2098936OTHERNEBRASKAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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