STATE OF NEVADA (NPI# 1922180850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922180850 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | HAWTHORNE MENTAL HEALTH CENTER |
| Practice Address |
1000 C Street Hawthorne NV 89415-0012 |
| Mailing Address |
1665 Old Hot Springs Rd Suite 157 Carson City NV 89706-0782 |
| Practice Telephone | 7759453387 |
| Practice Fax Number | 7759452307 |
| Mailing Telephone | 7756875162 |
| Mailing Fax Number | 7756871214 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | BARBARA LEGIER (AGENCY DIRECTOR) |
| Authorized Official Telephone | 7756875162 |
| 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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HAWTHORNE MENTAL HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1114309432 | State of Nevada | Case Management | 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 | 2015-06-23 |
| 1699914887 | State of Nevada | Case Management | 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 | 2009-02-11 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1558549972 | State of Nevada | Case Management | 100 Depot, #5, Caliente, NV 89008-0000 | 2008-02-07 |
| 1578741179 | State of Nevada | Case Management | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 | 2008-02-06 |
| 1336203892 | State of Nevada | Public Health or Welfare | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2006-12-20 |
| 1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF NEVADA RURAL CLINICS | 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027 |
| Street Address |
1000 C STREET |
| City | HAWTHORNE |
| State | NV |
| Zip Code | 89415-0012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457678575 | Garrison Nutt | Marriage & Family Therapist | 1000 C Street, Hawthorne, NV 89415-0000 | 2010-04-29 |
| 1881833077 | State of Nevada | Case Management | 1000 C Street, Hawthorne, NV 89415 | 2009-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324846 | Angela Lebleu | Behavior Technician | 203 C St, Hawthorne, NV 89415 | 2020-01-06 |
| 1710497920 | Claire Brillantes Espanol | Pharmacist | 1095 Hwy 95, Hawthorne, NV 89415 | 2017-10-03 |
| 1144692252 | Lakshmi Sriharsha Bingi | Pharmacist | Us-95, Safeway, Hawthorne, NV 89415 | 2015-10-28 |
| 1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
| 1033455407 | Wanda Nixon | Registered Nurse | 331 First Street, Hawthorne, NV 89415 | 2012-12-12 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
| 1851423164 | Carson Urologists Ltd | Urology | 200 S A St, Hawthorne, NV 89415 | 2007-03-12 |
| 1225057250 | Safeway Inc | Durable Medical Equipment & Medical Supplies | Hwy 95 and Armory, Hawthorne, NV 89415 | 2006-07-19 |
| 1902854516 | County of Mineral | Ambulance | 418 Mineral Way, Hawthorne, NV 89415 | 2006-05-05 |
| Find all providers in zip 89415 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578976 | Los Angeles County Department of Mental Health | Clinic/Center | 12501 S. Hawthorne Blvd, Hawthorne, CA 90250-4404 | 2016-10-05 |
| 1861425282 | Los Angeles County Department of Mental Health | Clinic/Center | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2006-07-09 |
| 1083768501 | Luis Cabrera | Clinic/Center | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2007-01-22 |
| 1659441368 | Los Angeles County Department of Mental Health | Clinic/Center | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2006-11-09 |
| 1225046667 | Los Angeles County Department of Mental Health | Clinic/Center | 11539 Hawthorne Blvd, Hawthorne, CA 90250-2325 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
| 1265033609 | Jamila Mitchell | Clinic/Center | 3465 W Craig Rd Ste A, North Las Vegas, NV 89032-5121 | 2020-11-03 |
| 1427665298 | Livelihood Wellness LLC | Clinic/Center | 2655 E Deer Springs Way Apt 1029, North Las Vegas, NV 89086-1451 | 2020-09-25 |
| 1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
| 1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
| 1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF NEVADA.
| 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.