Provider Type Icon

SACRED GROUND PSYCHOTHERAPY LLC NPI 1205493202


NPI Information

NPI: 1205493202
Provider Name: SACRED GROUND PSYCHOTHERAPY LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
4535 NORMAL BLVD STE 201
LINCOLN, NE
ZIP 68506
Phone: (402) 421-1182
Get Directions

SACRED GROUND PSYCHOTHERAPY LLC is a psychologist in Lincoln, NE. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SACRED GROUND PSYCHOTHERAPY LLC NPI is 1205493202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4535 NORMAL BLVD STE 201
LINCOLN, NE
ZIP 68506-891
Phone: (402) 421-1182

The provider's authorized official is Jonathan Marcotte .
The authorized official title is Self Phd and has the following contact phone number (402) 783-1555.

The enumeration date for this NPI number is 5/24/2019 and was last updated on 5/24/2019.


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
1103T00000XPsychologistYes

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
15348694785MEDICAIDNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.