BRIAN POTTS (NPI# 1740610278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740610278 |
| Entity Type | Individual |
| Full Name | BRIAN POTTS |
| Credential | PSYD, CSAC, BCBA |
| Practice Address |
4029 Dean Martin Dr Las Vegas NV 89103-4138 |
| Mailing Address |
279 Lincoln Street, Hahnemann Family Health Center Umass Memorial Medical Center Worcester MA 01605-1736 |
| Practice Telephone | 7028482256 |
| Mailing Telephone | 5083348830 |
| Mailing Fax Number | 5083348810 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0858 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1740610278 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 279 Lincoln Street, Hahnemann Family Health Center, Umass Memorial Medical Center, Worcester, MA 016051736 | 5083348830 | 5083348810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670931 | Brian Richard Potts | Emergency Medicine | 2450 Ashby Ave, Berkeley Emergency Medical Group, Berkeley, CA 94705-2067 | 2007-01-02 |
| 1932154903 | Brian Curtis Potts | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2006-05-24 |
| Street Address |
4029 DEAN MARTIN DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894850 | Elizabeth Marie Krantz | Marriage & Family Therapist | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2020-02-25 |
| 1548763519 | Anywhere Clinic LLC | Counselor | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2018-03-15 |
| 1316460850 | Anywhere Clinic LLC | Clinic/Center | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
| 1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
| 1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
| 1609358472 | Helping Heart LLC | Psychologist | 2855 W Pebble Rd Unit 303, Las Vegas, NV 89123-6504 | 2018-08-29 |
| 1285148890 | Amanda Devillez | Psychologist | 5550 W Flamingo Rd Ste B, Las Vegas, NV 89103-2334 | 2017-11-20 |
| 1699169318 | Rosalie Adriano | Psychologist | 7761 Tattersall Flag St, Las Vegas, NV 89139-6406 | 2015-03-19 |
| 1538566377 | Jennifer D Karmely Ph D, Pllc | Psychologist | 3196 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2315 | 2014-11-21 |
| 1417200262 | Stephanie A Stowman, Phd | Psychologist | 4055 Spencer St, Suite 126, Las Vegas, NV 89119-9303 | 2012-10-17 |
| 1235406463 | Dominic Ricciardi Inc | Psychologist | 8285 W Arby Ave Ste 165, Las Vegas, NV 89113-2239 | 2011-11-16 |
| 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.