PENNYWELL BEHAVIORAL HEALTH CENTER


Address: 5025 Nellis Oasis Ln Apt 244, Las Vegas, NV 89115-0770
Phone: 7144996232

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5025 NELLIS OASIS LN APT 244
City LAS VEGAS
State NV
Zip Code 89115-0770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083090609 Phillip Washington Sr. Counselor 5025 Nellis Oasis Ln Apt 244, Las Vegas, NV 89115-0770 2015-08-05

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LAS VEGAS
Zip Code 89115

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Dataset Information

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.

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