FATHER FLANAGAN'S BOYS HOME (NPI# 1265405419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265405419 |
| Entity Type | Organization |
| Organization Name | FATHER FLANAGAN'S BOYS HOME |
| Other Organization Name | BOYS TOWN CENTER FOR BEHAVIORAL HEALTH |
| Practice Address |
13460 Walsh Dr Boys Town NE 68010-7529 |
| Practice Telephone | 4024983362 |
| Practice Fax Number | 4023983375 |
| Mailing Telephone | 4024983362 |
| Mailing Fax Number | 4023983375 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | JUDITH A ORENDORFF (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4024983362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100261374-00 | 05 | |
| NE | 100262510-00 | 05 | |
| NE | 100255156-00 | 05 | |
| NE | 100261397-00 | 05 | |
| NE | 100255507-00 | 05 | |
| NE | 100260944-00 | 05 | |
| NE | 100262511-00 | 05 |
| Other Name | Type Code |
|---|---|
| Boys Town Center for Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396269726 | Father Flanagan's Boys Home | Counselor | 14188 Mother Teresa Ln, Boys Town, NE 68010-7554 | 2017-07-27 |
| 1710275714 | Father Flanagan's Boys Home | Psychologist | 3230 W Wildwood Dr, Grand Island, NE 68801-9609 | 2011-07-12 |
| 1447622923 | Father Flanagan's Boys Home | Psychologist | 5074 Ames Ave, Omaha, NE 68104-2323 | 2015-10-23 |
| Street Address |
13460 WALSH DR |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199889 | Kalee Marie Gross | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-06-23 |
| 1891318184 | James Lorenz Merle | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-21 |
| 1053933705 | Emma Grace Larson | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-15 |
| 1639791759 | Samantha Frances Barney | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-12 |
| 1407494495 | Marlee Jo Denton | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-12-20 |
| 1376101956 | Kari Emery | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-30 |
| 1497312284 | Philip Ross Richard IIi | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-28 |
| 1235796004 | Brian Burke Johnson | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-28 |
| 1538726310 | Christina Monachino | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-28 |
| 1487211272 | Elizabeth Claire Moore | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1598820912 | Shelly L Nykodym | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| Find all providers in zip 68010 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150676 | Trevor Bixler | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2018-07-02 |
| 1467942136 | Shelby Byrd | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2018-05-17 |
| 1972057370 | Zachary R Myers | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2016-08-15 |
| 1780064006 | Tara Leigh Hart-burhoop | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2015-06-02 |
| 1386053130 | Jamarri Ramon Aikins | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2014-08-06 |
| 1609201789 | Kimberly Joy Vogel | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2013-09-09 |
| 1912293523 | Suzanne M Milnes | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2011-06-22 |
| 1851557334 | Amanda M Mclean | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2008-08-04 |
| 1336320878 | Amy Linn Turner | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2007-11-26 |
| 1194942482 | Kimberly A Haugen | Psychologist | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2007-04-19 |
| Find all providers in BOYS TOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.