THE GRADUATE HOUSE (NPI# 1366984478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984478 |
| Entity Type | Organization |
| Organization Name | THE GRADUATE HOUSE |
| Other Organization Name | THE GRADUATE HOUSE |
| Practice Address |
3606 N Rancho Dr Ste 102 Las Vegas NV 89130-3196 |
| Practice Telephone | 7024260710 |
| Mailing Telephone | 7024260710 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | BRINTON COOK (CEO) |
| Authorized Official Telephone | 7024260710 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GRADUATE HOUSE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | NV | Agencies |
| Other Name | Type Code |
|---|---|
| The Graduate House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942809 | The Graduate House | Rehabilitation Practitioner | 5812 Gold Horizon St, North Las Vegas, NV 89031-6881 | 2014-04-09 |
| Street Address |
3606 N RANCHO DR STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568860906 | Daniel Coleman | Rehabilitation Practitioner | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2014-12-17 |
| 1679184907 | Shakariyah L Jimerson | Counselor | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2020-08-11 |
| 1669096871 | Jeremy Tyler Vaughn | Counselor | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2020-06-03 |
| 1467938639 | Marcus Ramon Robinson II | Counselor | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2018-07-11 |
| 1023500147 | Pamela Dafney | Rehabilitation Practitioner | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2018-06-04 |
| 1801388145 | Nelli Tonoyan | Counselor | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2018-06-02 |
| 1508357518 | Roynieka Daquea Fisher | Behavior Technician | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2018-05-24 |
| 1932603362 | Kiera Williams | Psychologist | 3606 N Rancho Dr Ste 102, Las Vegas, NV 89130-3196 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.