NPIMap

Organization Active NPI

Southern Nevada Academy of Development and Behavioral Health

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1053796946
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20151439330 Issued in NV
Legal business name
SOUTHERN NEVADA ACADEMY OF DEVELOPMENT AND BEHAVIORAL HEALTH
Practice address
5005 Losee Rd
Unit 3046
N Las Vegas, NV 89081-2479
Phone
(702) 373-7248
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dinisha Mingo, B.,A., QMHA
Title
Executive Director
Phone
(702) 373-7248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20151439330 NV Primary

Addresses

Primary practice location

5005 Losee Rd
Unit 3046
N Las Vegas, NV 89081-2479

Mailing address

5005 Losee Rd
Unit 3046
N Las Vegas, NV 89081-2479
Phone (702) 373-7248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1053796946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 LOSEE RD",
            "address_2": "UNIT 3046",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890812479",
            "telephone_number": "702-373-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LOSEE RD",
            "address_2": "UNIT 3046",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890812479",
            "telephone_number": "702-373-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA ACADEMY OF DEVELOPMENT AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "DINISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-373-7248",
        "authorized_official_credential": "B.,A., QMHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20151439330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.