| Forensic Behavioral Health, Inc. | |
|
1410 E Gold Coast Rd Suite 800 Papillion NE 68046-5799 | |
| (402) 557-6027 | |
| (402) 557-6028 |
| Full Name | Forensic Behavioral Health, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1410 E Gold Coast Rd, Papillion, Nebraska |
| Authorized Official Name and Position | Kirk Allen Brunswig Newring (OWNER) |
| Authorized Official Contact | 4025576027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Behavioral Health, Inc. 1410 E Gold Coast Rd Suite 800 Papillion NE 68046-5799 Ph: (402) 557-5027 | Forensic Behavioral Health, Inc. 1410 E Gold Coast Rd Suite 800 Papillion NE 68046-5799 Ph: (402) 557-6027 |
| NPI Number | 1366773095 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 0446389936 |
|---|---|
| Medicare Enrollment ID | O20100520000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366773095 | NPI | - | NPPES |
| 10025810100 | Medicaid | NE |
| Provider Name | Stephanie A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538188214 PECOS PAC ID: 3870529753 Enrollment ID: I20050712000804 |
| Provider Name | Melissa Dawn Brestel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164597506 PECOS PAC ID: 0042347130 Enrollment ID: I20100421000717 |
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