Provider Demographics
NPI:1730103839
Name:SCHMIDT, RICHARD D (MA)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N 56TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3583
Mailing Address - Country:US
Mailing Address - Phone:402-486-1600
Mailing Address - Fax:402-486-1600
Practice Address - Street 1:111 N 56TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3583
Practice Address - Country:US
Practice Address - Phone:402-486-1600
Practice Address - Fax:402-486-1600
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6293021OtherUNITED BEHAVIORAL HEALTH
NE10160OtherMIDLANDS CHOICE
NE84627OtherBLUECROSS/BLUESHIELD