ALFORQUE TAN LLC (NPI# 1780096776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780096776 |
| Entity Type | Organization |
| Organization Name | ALFORQUE TAN LLC |
| Other Organization Name | ICAREPSYCHIATRY |
| Practice Address |
6759 W Charleston Blvd Suite 130 Las Vegas NV 89146-2002 |
| Practice Telephone | 7022274165 |
| Practice Fax Number | 7022277921 |
| Mailing Telephone | 7022274165 |
| Mailing Fax Number | 7022277921 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | DR. RHIGEL ALFORQUE TAN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7022274165 |
| Authorized Official Credential | DNP APRN PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
APN0007124 | NV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| iCarePsychiatry | Doing Business As Name - Organization |
| Street Address |
6759 W CHARLESTON BLVD SUITE 130 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801985296 | Sally Kathleen Miller | Nurse Practitioner | 6759 W Charleston Blvd, Las Vegas, NV 89146-2002 | 2006-10-12 |
| 1457884058 | Lebeau Possibilities | Marriage & Family Therapist | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2017-04-10 |
| 1356732093 | Christie Lebeau | Marriage & Family Therapist | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2015-02-17 |
| 1134462088 | Billie Shattuck | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-03-28 |
| 1124361191 | Pamela Mccartney | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-03-28 |
| 1457693517 | Chariot Wonnacott | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-03-26 |
| 1417296112 | Sandra Vaughan | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-01-31 |
| 1679812366 | Vincent Sciame | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-01-31 |
| 1497094189 | Nathan Barez | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-01-31 |
| 1578801304 | David Korfman | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2013-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| 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.