| Complete Behavioral Health | |
|
5414 S 99th St Omaha NE 68127-3214 | |
| (402) 417-8793 | |
| (402) 559-9592 |
| Full Name | Complete Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 5414 S 99th St, Omaha, Nebraska |
| Authorized Official Name and Position | Kelly Lynn Fairbanks (MANAGER/DIRECTOR) |
| Authorized Official Contact | 4024178793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Behavioral Health 5414 S 99th St Omaha NE 68127-3214 Ph: (402) 417-8793 | Complete Behavioral Health 5414 S 99th St Omaha NE 68127-3214 Ph: (402) 417-8793 |
| NPI Number | 1801292321 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Medicare PECOS PAC ID | 9638495336 |
|---|---|
| Medicare Enrollment ID | O20150223001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801292321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 748 (Nebraska) | Primary |
| Provider Name | Kelly L Tamayo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851613905 PECOS PAC ID: 7618001751 Enrollment ID: I20100811000937 |
| Provider Name | Brittany Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760262828 PECOS PAC ID: 0941659387 Enrollment ID: I20231212000276 |
| Provider Name | Aryn Bowlby-safranek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093810343 PECOS PAC ID: 5597108274 Enrollment ID: I20240209001277 |
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