Organization Active NPI

Nevada Treatment Center

  • Methadone Clinic
  • Las Vegas, NV
National Provider Identifier
1053491977
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
2567NTC-13 Issued in NV
Legal business name
NEVADA TREATMENT CENTER
Practice address
1721 East Charleston
Las Vegas, NV 89104
Phone
(702) 382-4226
Fax
(702) 382-4031
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Julie Payne
Title
Ceo
Phone
(702) 382-4226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 2567NTC-13 NV Primary
Substance Abuse Rehabilitation Facility 324500000X RCE004-457 NV

Addresses

Primary practice location

1721 East Charleston
Las Vegas, NV 89104

Mailing address

1721 East Charleston
Las Vegas, NV 89104
Phone (702) 382-4226

Other identifiers 1

IdentifierTypeStateIssuer
001702100MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1053491977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EAST CHARLESTON",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-382-4226",
            "fax_number": "702-382-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EAST CHARLESTON",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-382-4226",
            "fax_number": "702-382-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-382-4226"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NV",
            "license": "2567NTC-13",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "RCE004-457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001702100",
            "state": "NV"
        }
    ],
    "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 Apr 17, 2009; 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.