DR. MARIN J BROUCEK (NPI# 1588942262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588942262 |
| Entity Type | Individual |
| Full Name | DR. MARIN J BROUCEK |
| Credential | M.D. |
| Practice Address |
4102 Woolworth Ave Omaha NE 68105-1851 |
| Practice Telephone | 4024447612 |
| Mailing Telephone | 4024447612 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
27420 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4102 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019718 | Douglas County Nebraska | Psychiatric Hospital | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2005-08-03 |
| 1295360014 | Julie D'agosto | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2020-03-12 |
| 1235790551 | Meghan Greenfield | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-26 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1477011294 | Patricia Ann Teeter | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-03-11 |
| 1558827980 | Robin Lee Sullivan | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-02-11 |
| 1083188320 | Heidi Michelle Berthelsen | Speech-Language Pathologist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-01-21 |
| 1740757327 | Katrina Dell Reifenrath | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-31 |
| 1790251841 | Stephanie Eileen Voyles | Social Worker | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-16 |
| 1225511223 | Michael A. Amenta | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320075 | Resolve Medical Billing | Psychiatry & Neurology | 5402 Northwest Dr, Omaha, NE 68104-2844 | 2019-11-11 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1588158083 | Alexander Sasha Dragic | Psychiatry & Neurology | 7500 Mercy Rd Ste 601, Omaha, NE 68124-2319 | 2018-06-18 |
| 1770005613 | Larisa Akah Che | Psychiatry & Neurology | 7710 Mercy Road, Suite 202, Cu Department of Psychiatry, Omaha, NE 68124-2353 | 2017-07-12 |
| 1598286577 | Caitlyn Milone | Psychiatry & Neurology | 7710 Mercy Road, Suite 202- Cu Department of Psychiatry, Omaha, NE 68124-2353 | 2017-06-29 |
| 1700306339 | Cynthia Paul Md LLC | Psychiatry & Neurology | 900 S 74th Plz Ste 400, Omaha, NE 68114-4667 | 2017-06-24 |
| 1316493943 | Siva Sundeep Koppolu | Psychiatry & Neurology | 985582 Nebraska Medical Ctr Cu Dept of Psychiatry, Omaha, NE 68198-5582 | 2016-09-01 |
| 1164978136 | Erin Christine Ranum | Psychiatry & Neurology | 42nd & Dewey St, Omaha, NE 68198-1023 | 2016-08-30 |
| 1538574421 | Nicholas Paul Basalay | Psychiatry & Neurology | 985582 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-5582 | 2014-06-30 |
| 1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
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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.