Complete Behavioral Health
NPI 1801292321ActiveOrganization· Psychologist, Clinical· Omaha, NE
Psychologist, Clinical in Omaha, Nebraska, registered in NPPES in November 2014. The authorized official on file is Kelly Lynn Fairbanks, PSYD, Manager/Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801292321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2014 |
| Last updated in NPPES | Nov 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 748 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NE) |
|---|
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