UNLV MEDICINE (NPI# 1851811525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851811525 |
| Entity Type | Organization |
| Organization Name | UNLV MEDICINE |
| Other Organization Name | BEHAVIORAL |
| Practice Address |
4000 E Charleston Blvd Ste 130 Las Vegas NV 89104-6681 |
| Mailing Address |
2040 W Charleston Blvd Fl 3 Las Vegas NV 89102-2227 |
| Practice Telephone | 7029684000 |
| Mailing Telephone | 7028951514 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JAMES B ALBERTSON (CEO) |
| Authorized Official Telephone | 7028951514 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNLV MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Behavioral | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4538 W Craig Rd Ste 290, North Las Vegas, NV 890322511 | 7029684000 | |
| 522 E Lake Mead Pkwy Ste 5, Henderson, NV 890155573 | 7024557900 | |
| 630 S Rancho Dr Ste A, Las Vegas, NV 891064849 | 7029103379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184152274 | Unlv Medicine | Pharmacy | 4000 E Charleston Blvd Ste B130, Las Vegas, NV 89104-6681 | 2017-06-01 |
| 1538694575 | Unlv Medicine | Counselor | 2040 W Charleston Blvd, 3rd Floor, Las Vegas, NV 89102-2230 | 2017-04-27 |
| 1407397235 | Unlv Medicine | Internal Medicine | 2040 W. Charleston Blvd., Las Vegas, NV 89102-2230 | 2017-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNLV MEDICINE | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 |
| Street Address |
4000 E CHARLESTON BLVD STE 130 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-6681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063652568 | Caroline E. Doss | Social Worker | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6659 | 2009-02-24 |
| 1699181289 | Demetria Collins | Social Worker | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6681 | 2014-07-03 |
| 1912279704 | Patricia L. Murray | Registered Nurse | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6681 | 2012-02-08 |
| 1235438086 | Kori Detmer | Social Worker | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6681 | 2011-03-18 |
| 1750692851 | Jason Katrosits | Counselor | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6681 | 2010-06-24 |
| 1356677439 | Laura A Otrambo | Registered Nurse | 4000 E Charleston Blvd Ste 130, Las Vegas, NV 89104-6659 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.