Mountain Interval, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOUNTAIN INTERVAL, LLC

Practice address

4425 S Jones Blvd
Suite D3
Las Vegas, NV 89103-3370

Phone

(702) 991-3150

Fax

(866) 658-4052

NPI assigned

Aug 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Clark, MA

Title

Managing Partner

Phone

(702) 991-3150

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1023324076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD",
            "address_2": "SUITE # D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-991-3150",
            "fax_number": "866-658-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD",
            "address_2": "SUITE D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-991-3150",
            "fax_number": "866-658-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN INTERVAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-991-3150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Denise Mount
• Veronica Mount
• Mountain Care LLC
• Mountain Crest Home Health, LLC
• Mountain Interval LLC
• Mountain Land Rehabilitation of Nevada LC
• Mountain Oasis Counseling, LLC
• Mountain Peaks Surgery Center
• Mountain Podiatry
• Mountain Podiatry

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.