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RICHARD LEE KISSACK
NPI 1639839137
Community/Behavioral Health in Grand Island, NE

Active since December 23, 2021
1811 W. 2ND ST., SUITE 450, GRAND ISLAND, NE 68803(308) 379-8619 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Lee Kissack NPPES

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

RICHARD LEE KISSACK (NPI 1639839137) is an individual community/behavioral health provider in Grand Island, Nebraska and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1639839137
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameRICHARD LEE KISSACK
Location Address1811 W. 2ND ST., SUITE 450Grand Island, NE 68803-7543
Mailing Address1811 W. 2nd St., Suite 450Grand Island, NE 68803-5473 · (308) 379-8619 · Fax (308) 675-2690
Phone(308) 379-8619
Sole ProprietorYes
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1639839137 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.
1811 W. 2ND ST., Grand Island, NE 68803
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Kissack's NPI number?

The NPI number for Richard Kissack is 1639839137. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Richard Kissack located?

Richard Kissack practices at 1811 W. 2nd St. Suite 450, Grand Island, NE 68803. The listed phone number is (308) 379-8619.

What is Richard Kissack's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Richard Kissack was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.