MICHELLE MEDINA
NPI 1891500708
Psychologist - Health Service in Bellevue, NE

Q: What is Michelle Medina's NPI number?

The NPI number for Michelle Medina is 1891500708. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Q: What is Michelle Medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Medina was last updated on February 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since February 08, 2025

12103 S 29TH ST, BELLEVUE, NE 68123(909) 246-8896 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Medina NPPES

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

MICHELLE MEDINA (NPI 1891500708) is an individual health service provider in Bellevue, Nebraska, licensed in Nebraska (3747P1801X) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1891500708

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameMICHELLE MEDINA

Location Address12103 S 29TH STBellevue, NE 68123-1404

Mailing Address14210 Arbor StOmaha, NE 68144-2385 · (531) 999-1133

Phone(909) 246-8896

Sole ProprietorNo

Enumeration DateFebruary 8, 2025

NPPES CertifiedFebruary 8, 2025

✔ NPI 1891500708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in NE · 3747P1801X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

12103 S 29TH ST, Bellevue, NE 68123

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Other Providers at the Same Location NPPES

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

KELLY D CARRIGER

Contractor

12103 S 29TH ST
BELLEVUE, NE 68123

Sarpy County (626) 672-8587

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 Michelle Medina's NPI number?

The NPI number for Michelle Medina is 1891500708. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Where is Michelle Medina located?

Michelle Medina practices at 12103 S 29th St, Bellevue, NE 68123. The listed phone number is (909) 246-8896.

What is Michelle Medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Michelle Medina was last updated on February 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.