Douglas County Community Mental Health Center – Psychiatric Hospital, NPI 1023019718
Psychiatric Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Douglas County Community Mental Health Center
Douglas County Health Center, 4102, Woolworth Avenue, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681051899
Phone: (402) 444-7608
Type: Mailing
1490 N 16th St
Omaha, NE 681024101
Phone: (402) 444-1978
Type: Location
1709 Jackson St
Omaha, NE 681022513
Phone: (402) 599-2713
Fax: (402) 599-2562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (862 days ago).
Enrollment records
2
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031212000853 | O | Clinic/Group Practice | NE | 2025-09-30 |
| O20070417000000 | O | Hospital | NE | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68105)
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