Paradise Behavioral Health Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PARADISE BEHAVIORAL HEALTH CENTER LLC

Practice address

4912 Cinnamon Spice CT
N Las Vegas, NV 89031-2587

Phone

(702) 690-0785

NPI assigned

Apr 26, 2020

Organization subpart

No

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

Authorized official

Name

Laquaisha Dantrice Hyder

Title

Ceo

Phone

(702) 690-0785

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James C Lee, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1487773537
  Medicare reassignment Care Compare group NPD
• Dawn L Starks-Ball, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1962693465
  Medicare reassignment Care Compare group NPD
• Breonna Janea Young

  • Rehabilitation Counselor
  • North Las Vegas, NV
  • NPI 1922411180
  NPD

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1023638418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 CINNAMON SPICE CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 CINNAMON SPICE CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312587",
            "telephone_number": "702-690-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "LAQUAISHA",
        "authorized_official_middle_name": "DANTRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-690-0785"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912205394",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PARADISEBH2020@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4912 Cinnamon Spice Ct",
            "city": "N Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890312587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ines Palacios Cavero
• Elita Pallasigui
• Carla Palmer
• Maria Ines Palos Rivera
• Solange-Louise Panell, BA, CADC
• Virginia Paris
• Tracy Parker
• Paul Nguyen MD LTD
• Paul Vega MD, Inc
• Jamie Paul

• Mental Health Clinic/Center (Including Community Mental Health Center) in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.