OTIUM MENTAL HEALTH SERVICES LLC (NPI# 1396135612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396135612 |
| Entity Type | Organization |
| Organization Name | OTIUM MENTAL HEALTH SERVICES LLC |
| Practice Address |
2470 Saint Rose Pkwy Suite 306 Henderson NV 89074-7772 |
| Mailing Address |
2470 St. Rose Parkway Suite 306 Henderson NV 89074-7772 |
| Practice Telephone | 7025788623 |
| Practice Fax Number | 7026640438 |
| Mailing Telephone | 7025788623 |
| Mailing Fax Number | 7026640438 |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | MRS. LINDA ESTRELLA WOLFE (OWNER) |
| Authorized Official Telephone | 7025788623 |
| Authorized Official Credential | LMFT, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NV20151024554 | NV | Agencies |
| Street Address |
2470 SAINT ROSE PKWY SUITE 306 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487829230 | Joshua Satterlee Dc PC | Chiropractor | 2470 Saint Rose Pkwy, Suite 303, Henderson, NV 89074-7772 | 2008-04-23 |
| 1992045629 | Adrian Dean Howell | Psychologist | 2470 Saint Rose Pkwy, Henderson, NV 89074-7772 | 2013-02-16 |
| 1407108152 | Sharman Marie Knight | Behavioral Analyst | 2470 Saint Rose Pkwy, Suite 304, Henderson, NV 89074-7772 | 2012-10-04 |
| 1548521362 | Brittany Kees | Behavioral Analyst | 2470 Saint Rose Pkwy, Suite 304, Henderson, NV 89074-7772 | 2012-06-07 |
| 1750615886 | Stephanie Ann Stowman | Psychologist | 2470 Saint Rose Pkwy, Ste 106c, Henderson, NV 89074-7773 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1881207231 | Beyond Counseling & Consulting, LLC | Community/Behavioral Health | 10120 S Eastern Ave Ste 200, Henderson, NV 89052-3926 | 2020-08-26 |
| 1578171807 | Second Chances Behavioral Health | Community/Behavioral Health | 2715 Briarcliff Ave, Henderson, NV 89074-1210 | 2020-07-22 |
| 1861021438 | Raquel Martinez | Community/Behavioral Health | 870 Seven Hills Dr Ste 203, Henderson, NV 89052-4379 | 2020-04-06 |
| 1417506080 | Common Sense Behavioral Health | Community/Behavioral Health | 2722 Briarcliff Ave, Henderson, NV 89074-1251 | 2019-09-06 |
| 1740832617 | Aldis Therapy Services | Community/Behavioral Health | 2990 Sunrdg Hgts Ste 140, Henderson, NV 89052-4469 | 2019-07-11 |
| 1801356316 | Guardian Angel Healthcare, LLC | Community/Behavioral Health | 123 Young St, Henderson, NC 27536-4248 | 2019-03-21 |
| 1124587720 | Cornelius Williams | Community/Behavioral Health | 121 Young St, Henderson, NC 27536-4248 | 2019-03-14 |
| 1093274649 | Yasmene Kyle | Community/Behavioral Health | 339 Tin St Apt 522, Henderson, NV 89015-7392 | 2019-03-13 |
| 1124599840 | Able Mental Health Agency | Community/Behavioral Health | 764 Golden Sedum Dr, Henderson, NV 89011-2641 | 2018-12-06 |
| Find all providers in HENDERSON | ||||
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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.