| M. B. Psychological Services, Llc | |
|
5539 S 27th St Ste 104 Lincoln NE 68512-1600 | |
| (402) 261-8313 | |
| (402) 939-0437 |
| Full Name | M. B. Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5539 S 27th St Ste 104, Lincoln, Nebraska |
| Authorized Official Name and Position | Megan Nicole Basnett (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3086273364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. B. Psychological Services, Llc 5539 S 27th St Ste 104 Lincoln NE 68512-1600 Ph: (402) 261-8313 | M. B. Psychological Services, Llc 5539 S 27th St Ste 104 Lincoln NE 68512-1600 Ph: (402) 261-8313 |
| NPI Number | 1174104368 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/09/2021 |
| Medicare PECOS PAC ID | 2163831116 |
|---|---|
| Medicare Enrollment ID | O20210504002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174104368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan N Basnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457768954 PECOS PAC ID: 3274812557 Enrollment ID: I20161109000057 |
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