| Boys Town Center For Behavioral Health | |
|
13460 Walsh Dr Boys Town NE 68010-7529 | |
| (531) 355-3358 | |
| (531) 355-3375 |
| Full Name | Boys Town Center For Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 13460 Walsh Dr, Boys Town, Nebraska |
| Authorized Official Name and Position | Stacia J Shearman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5313558104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Town Center For Behavioral Health 13460 Walsh Dr Boys Town NE 68010-7529 Ph: (531) 355-3358 | Boys Town Center For Behavioral Health 13460 Walsh Dr Boys Town NE 68010-7529 Ph: (531) 355-3358 |
| NPI Number | 1265405419 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265405419 | NPI | - | NPPES |
| 100255156-00 | Medicaid | NE | |
| 100261374-00 | Medicaid | NE | |
| 100262511-00 | Medicaid | NE | |
| 100261397-00 | Medicaid | NE | |
| 100255507-00 | Medicaid | NE | |
| 100260944-00 | Medicaid | NE | |
| 100262510-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Father Flanagan's Boys Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14188 Mother Teresa Ln, Boys Town, NE 68010 Phone: 402-498-3025 Fax: 402-964-7150 |