Provider Demographics
NPI:1629816285
Name:MIND BODY PSYCHIATRIC LLC
Entity type:Organization
Organization Name:MIND BODY PSYCHIATRIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNSELD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-520-6616
Mailing Address - Street 1:8600 MADDOX DR # 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68520-1604
Mailing Address - Country:US
Mailing Address - Phone:402-520-6616
Mailing Address - Fax:
Practice Address - Street 1:8600 MADDOX DR # 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68520-1604
Practice Address - Country:US
Practice Address - Phone:402-520-6616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty