{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SCHROER BEHAVIORAL HEALTH SERVICES",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1717 ROAD 2500",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAWRENCE",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68957-6022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-460-9936",
"MailingAddressFaxNumber": "402-756-7566",
"FirstLinePracticeLocationAddress": "1717 ROAD 2500",
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"PracticeLocationAddressCityName": "LAWRENCE",
"PracticeLocationAddressStateName": "NE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-460-9936",
"PracticeLocationAddressFaxNumber": "402-756-7566",
"EnumerationDate": "09/24/2009",
"LastUpdateDate": "09/24/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHROER",
"AuthorizedOfficialFirstName": "KYLENE",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN",
"AuthorizedOfficialTelephoneNumber": "402-460-9936",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "110853",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}