| Trinity Psychological Services Pc | |
|
4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 | |
| (540) 764-0725 | |
| Not Available |
| Full Name | Trinity Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4535 Normal Blvd, Lincoln, Nebraska |
| Authorized Official Name and Position | Nicholas R Stevens (PRESIDENT) |
| Authorized Official Contact | 5407640725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Psychological Services Pc 4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 Ph: (540) 764-0725 | Trinity Psychological Services Pc 4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 Ph: (540) 764-0725 |
| NPI Number | 1598291759 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 2365719598 |
|---|---|
| Medicare Enrollment ID | O20170518001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598291759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicolette L Machado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508091646 PECOS PAC ID: 0547483158 Enrollment ID: I20140529002202 |
| Provider Name | Nicholas R Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295160240 PECOS PAC ID: 0547566523 Enrollment ID: I20160317001231 |
| Provider Name | Jillian Grace Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801364641 PECOS PAC ID: 0042666471 Enrollment ID: I20231021000207 |
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