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NPI Code Detail

MEDICARE: LINCOLN PSYCHIATRIC GROUP

MEDICARE: LINCOLN PSYCHIATRIC GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1417651605
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINCOLN PSYCHIATRIC GROUP
Provider Business Mailing Address
First Line : 6500 HOLDREGE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-1673
Country : US
Telephone Number : 402-476-7557
Fax Number :
Provider Business Practice Location Address
First Line : 6500 HOLDREGE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-1673
Country : US
Telephone Number : 402-476-7557
Fax Number : 402-476-9912
Authorized Official
Title or Position : OFFICE MANAGER
Name : BECKY HAUMONT
Credential :
Telephone Number : 402-476-7557
Provider Enumeration Date : 03/30/2023
Last Update Date : 12/16/2025

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Directions to “LINCOLN PSYCHIATRIC GROUP ” Practice Location

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