Organization
ALEGENT CREIGHTON HEALTH
Active
Parent organization
CHI NEBRASKA
Other names
CHI Health Psychiatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHI NEBRASKA
Authorized official
KEITH JANKUSKI (COO)
(402) 343-4409
Entity
Organization
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-2609
(712) 328-9257
Mailing address
12809 W DODGE ROAD, OMAHA, NE 68154-2155
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
06/17/2013
Last updated
10/30/2020
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