Organization Active NPI

Stonebridge Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1023590544
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20171534971 Issued in NV
Legal business name
STONEBRIDGE BEHAVIORAL HEALTH LLC
Practice address
3311 S Rainbow Blvd Ste 112
Las Vegas, NV 89146-6596
Phone
(702) 772-4446
NPI assigned
Aug 30, 2018
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Melissa J Reece-ThompsonNPI 1598251290
Title
President
Phone
(702) 772-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20171534971 NV Primary

Addresses

Primary practice location

3311 S Rainbow Blvd Ste 112
Las Vegas, NV 89146-6596

Mailing address

3311 S Rainbow Blvd Ste 112
Las Vegas, NV 89146-6596
Phone (702) 772-4446

National Provider Directory

National Provider Directory

Locations

3311 S Rainbow Blvd
Ste 112
Las Vegas, NV 89146
Phone (702) 772-4446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1023590544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "702-772-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "702-772-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "REECE-THOMPSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-772-4446"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171534971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.