INDIVIDUAL (NPI# 1558663963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558663963 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL |
| Practice Address |
8105 Hidden Quail Ave Las Vegas NV 89131-4647 |
| Practice Telephone | 7022032381 |
| Mailing Telephone | 7022032381 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | MR. JOSIFINA R ADAMS (OWNER) |
| Authorized Official Telephone | 7022032381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
E0613242008-1 | NV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1669862587 | Individual | Specialist/Technologist | 2926 Waldon Park Dr, Orion, MI 48359-1336 | 2015-01-30 |
| 1780092817 | Individual | Skilled Nursing Facility | 5311 Albany Cir, Tobaccoville, NC 27050-9723 | 2014-08-01 |
| 1316361496 | Individual | Community/Behavioral Health | 2484 Ga Highway 100, Hogansville, GA 30230-3719 | 2014-02-11 |
| 1134534563 | Individual | Public Health or Welfare | 81 Plantation Street, Worcester, MA 01604 | 2014-06-24 |
| 1881019123 | Individual | Community/Behavioral Health | 12966 Euclid St, Suite 280, Garden Grove, CA 92840-5200 | 2014-02-24 |
| 1952724932 | Individual | Nursing Care | 1019 Westside Dr, Cuba, MO 65453-1025 | 2014-01-28 |
| 1639415920 | Individual | Residential Treatment Facility, Emotionally Disturbed Children | 1725 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIVIDUAL | 200 E Pine St, Somonauk, IL 60552-9812 |
| New York State Corporations | INDIVIDUAL & BUSINESS CONSULTING INC | 775 Park Ave Ste 255, Huntington, Ny 11743 |
| Virginia Business Entities | Individual & Employee Wellness LLC | 244 Ridgeway Drive, Farmville, Virginia 23901 |
| Oregon Corporations, Companies and Business Names | INDIVIDUAL & FAMILY GROWTH CENTER-MICHOL POLSON PHD | 204 Riverside Dr, Klamath Falls, OR 97601 |
| Colorado Business Entities | Individual & Family Recovery Inc. | 420 21st Ave., Suite 115, Longmont, CO 80501 |
| Oklahoma Business Registrations | INDIVIDUAL & FAMILY SERVICE L.L.C. | 2840 E 52nd St Ste 105, Tulsa, OK 74105 |
| Massachusetts Corporations | INDIVIDUAL & FAMILY SUPPORT CENTERS, INC. | 81 Hope Avenue, Worcester, MA 02721 |
| Virginia Business Entities | INDIVIDUAL & GROUP HEALTH PLANS INC. | 6025 Lee Hwy Ste 415, Chattanooga, Tennessee 37421 |
| Colorado Business Entities | Individual 1 | 17900 E 56th Ave, Apt 113, Denver, CO 80249 |
| Colorado Business Entities | Individual Academic Development, LLC | Po Box 2109, Parker, CO 80134 |
| Street Address |
8105 HIDDEN QUAIL AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346542495 | Jonathan Christopher Adams | Technician, Other | 8105 Hidden Quail Ave, Las Vegas, NV 89131-4647 | 2010-11-23 |
| 1194023937 | Josie Adams | Case Manager/Care Coordinator | 8105 Hidden Quail Ave, Las Vegas, NV 89131-4647 | 2011-03-02 |
| 1265734834 | Joseph Adams | Technician, Other | 8105 Hidden Quail Ave, Las Vegas, NV 89131-4647 | 2010-12-02 |
| 1649572751 | Jadams Corporation | Clinic/Center | 8105 Hidden Quail Ave, Las Vegas, NV 89131 | 2010-11-22 |
| 1376844704 | Jadams Corporation | Clinic/Center | 8105 Hidden Quail Ave, Las Vegas, NV 89131 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558143 | Jessica Mix Mft | Clinic/Center | 6390 W Cheyenne Ave Ste F, Las Vegas, NV 89108-6008 | 2020-05-01 |
| 1528695897 | L Jensen and Associates Inc | Clinic/Center | 9418 W Lake Mead Blvd Ste 308, Las Vegas, NV 89134-8312 | 2020-03-25 |
| 1013548817 | Abraxas Center LLC | Clinic/Center | 4575 W Cougar Ave Ste 300, Las Vegas, NV 89139-7617 | 2020-01-30 |
| 1164061818 | Therapy Sense Pllc | Clinic/Center | 9402 W Lake Mead Blvd Ofc 104, Las Vegas, NV 89134-8312 | 2019-12-28 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1205479813 | Core Strength LLC | Clinic/Center | 186 Woolman Rink Ave, Las Vegas, NV 89123-7443 | 2019-10-26 |
| 1164987871 | Brenda Primero Np LLC | Clinic/Center | 8125 Nottingham Hill Ln, Las Vegas, NV 89113-1888 | 2019-02-06 |
| 1699281915 | Desert Wellness Center | Clinic/Center | 3341 Ascona Ct, Las Vegas, NV 89129-6190 | 2017-12-22 |
| 1821537242 | Nicole R Vaughn Changing Minds | Clinic/Center | 911 N Buffalo Dr Unit 206, Las Vegas, NV 89128-0381 | 2017-02-17 |
| 1376090910 | Renaissance Ranch Outpatient, LLC | Clinic/Center | 3037 E Warm Springs Rd, Suite 400, Las Vegas, NV 89120-3758 | 2016-09-01 |
| 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.