| Behavioral Medicine Associates Llc | |
|
220 W Leota St Suite 200 North Platte NE 69101-6293 | |
| (308) 534-4872 | |
| Not Available |
| Full Name | Behavioral Medicine Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 220 W Leota St, North Platte, Nebraska |
| Authorized Official Name and Position | Lloyd Lee Kimzey (OWNER CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3085344872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Associates Llc 220 W Leota St Ste 200 North Platte NE 69101-6293 Ph: (308) 534-4872 | Behavioral Medicine Associates Llc 220 W Leota St Suite 200 North Platte NE 69101-6293 Ph: (308) 534-4872 |
| NPI Number | 1063582195 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 9032110705 |
|---|---|
| Medicare Enrollment ID | O20070228000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063582195 | NPI | - | NPPES |
| 10025443100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 208 (Nebraska) | Primary |
| 103TC0700X | Psychologist - Clinical | 675 (Nebraska) | Secondary |
| Provider Name | Sarah K Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942356894 PECOS PAC ID: 0042312274 Enrollment ID: I20070219000626 |
| Provider Name | Lloyd Lee Kimzey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396777884 PECOS PAC ID: 5496857633 Enrollment ID: I20070219000645 |
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