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ALEGENT HEALTH IMMANUEL MEDICAL CENTER NPI 1104939487


NPI Information

NPI: 1104939487
Provider Name: ALEGENT HEALTH IMMANUEL MEDICAL CENTER

Doing Business As: CHI HEALTH PSYCHIATRIC ASSOCIATES

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

Specialization: Psychiatry

CLIA Number: 28D1095413

Address:
6901 N 72ND ST
OMAHA, NE
ZIP 68122
Phone: (402) 572-2916
Get Directions

ALEGENT HEALTH IMMANUEL MEDICAL CENTER is a psychiatry psychiatry neurology in Omaha, 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. ALEGENT HEALTH IMMANUEL MEDICAL CENTER NPI is 1104939487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chi Health Psychiatric Associates.

The provider's business location address is:

6901 N 72ND ST
OMAHA, NE
ZIP 68122-709
Phone: (402) 572-2916
Fax: (402) 572-3544

The provider's authorized official is Jeanette Wojtalewicz .
The authorized official title is Cfo and has the following contact phone number (402) 343-4323.

The CLIA number assigned to this NPI record is 28D1095413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 2/10/2016.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22084P0800XPsychiatry & 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
1096554MEDICARE OSCAR/CERTIFICATIONNEBRASKA
2I7802MEDICARE PINIOWA

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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