PENNYWELL BEHAVIORAL HEALTH CENTER (NPI# 1386029973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386029973 |
Entity Type | Organization |
Organization Name | PENNYWELL BEHAVIORAL HEALTH CENTER |
Practice Address |
5025 Nellis Oasis Ln Apt 244 Las Vegas NV 89115-0770 |
Practice Telephone | 7144996232 |
Mailing Telephone | 7144996232 |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-07-23 |
Authorized Official Name | PHILLIP WASHINGTON SR. (OWNER/PROVIDER) |
Authorized Official Telephone | 7144996232 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
5025 NELLIS OASIS LN APT 244 |
City | LAS VEGAS |
State | NV |
Zip Code | 89115-0770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083090609 | Phillip Washington Sr. | Counselor | 5025 Nellis Oasis Ln Apt 244, Las Vegas, NV 89115-0770 | 2015-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
1316555097 | Alma Liz Cuello Gonzalez | Technician | 3735 Gulliver St, Las Vegas, NV 89115 | 2020-07-17 |
1689214397 | Reginald Powers | Technician | 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 | 2020-01-10 |
1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
1982249801 | Limitless Behavioral Services Health LLC | Community/Behavioral Health | 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 | 2019-11-14 |
1033751102 | Patricia Rangel | Technician | 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 | 2019-10-10 |
1003388471 | Nikera Island | Technician | 9564 Nellis Blvd, Las Vegas, NV 89115 | 2018-12-26 |
1295218519 | Craig Duerson | Behavioral Analyst | 3624 Elegant Saint Ct, Las Vegas, NV 89115 | 2018-09-12 |
1043719750 | Mary Bernadette Mitchell | Technician | 3715 Hayward Field Rd, Las Vegas, NV 89115 | 2018-02-08 |
1689190563 | Brian D Rentie Jr. | Behavior Technician | 4730 E. Craig Rd #2160, Las Vegas, NV 89115 | 2017-08-22 |
Find all providers in zip 89115 |
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.