Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HUNTRIDGE FAMILY CLINIC FOUNDATION DBA PRISM HEALTH SERVICES FOUNDATIO

Practice address

7670 West Sahara Ave
Suite B
Las Vegas, NV 89117

Phone

(702) 430-9620

Fax

(702) 430-9630

NPI assigned

Mar 12, 2018

Organization subpart

Yes

Parent organization

HUNTRIDGE FAMILY CLINIC FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Kathleen Marshall

Title

Chief Executive Officer

Phone

(702) 430-9620

Specialties & licenses 1

Addresses

Other names 1

• Full Spectrum Health Services Doing business as

Part of

Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio

Locations

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1053814517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W CHARLESTON BLVD #102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-430-9620",
            "fax_number": "702-430-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 WEST SAHARA AVE",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-430-9620",
            "fax_number": "702-430-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTRIDGE FAMILY CLINIC FOUNDATION DBA PRISM HEALTH SERVICES FOUNDATIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUNTRIDGE FAMILY CLINIC FOUNDATION",
        "enumeration_date": "2018-03-12",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-430-9620"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Full Spectrum Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zanisha Monike Hunter
• Nancy Hunterton, MFT
• Hannah Taylor Huntington, DO
• Tara Huntington
• Mary Bridget Huntly, NP
• Stephanie Huntsman, MED, LAT, ATC
• Uqisha Huntsman
• Olivia Marie Huntzinger
• Asia Hunwick
• Tsung Hsia Huo

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.