DERRIUS MALCOLM CHISHOLM
NPI 1255133658
Community/Behavioral Health in Lincoln, NE

Active since March 26, 2025
7562 UPTON GREY LN, LINCOLN, NE 68516(402) 904-7433 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derrius Malcolm Chisholm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRIUS MALCOLM CHISHOLM (NPI 1255133658) is an individual community/behavioral health provider in Lincoln, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1255133658
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameDERRIUS MALCOLM CHISHOLM
Location Address7562 UPTON GREY LNLincoln, NE 68516-5694
Mailing Address7562 Upton Grey LnLincoln, NE 68516-5694
Sole ProprietorYes
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
NPI 1255133658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

7562 UPTON GREY LN, Lincoln, NE 68516

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
7562 UPTON GREY LN
LINCOLN, NE 68516
Custodial Care Facility (Adult Care Home)
7562 UPTON GREY LN
LINCOLN, NE 68516
Community/Behavioral Health
7562 UPTON GREY LN
LINCOLN, NE 68516
In Home Supportive Care
7562 UPTON GREY LN
LINCOLN, NE 68516
Intermediate Care Facility, Intellectual Disabilities
7562 UPTON GREY LN
LINCOLN, NE 68516
Community/Behavioral Health
7562 UPTON GREY LN
LINCOLN, NE 68516
Community/Behavioral Health
7562 UPTON GREY LN
LINCOLN, NE 68516
Community/Behavioral Health
7562 UPTON GREY LN
LINCOLN, NE 68516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255133658, enumerated as an "individual" on March 26, 2025.

The provider is located at 7562 UPTON GREY LN LINCOLN, NE 68516 and the phone number is (402) 904-7433.

Community/Behavioral Health with taxonomy code 251S00000X.