NPIMap

Organization Active NPI

Center for Behavioral Health Nevada, Inc

  • Methadone Clinic
  • Las Vegas, NV
National Provider Identifier
1083797484
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CENTER FOR BEHAVIORAL HEALTH NEVADA, INC
Practice address
3050 East Desert Road
Suite 116
Las Vegas, NV 89121
Phone
(702) 796-0660
Fax
(702) 796-1835
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Ms. Mary Massman
Title
Owner
Phone
(702) 796-0660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 2569NTC-7 NV
Methadone Clinic 261QM2800X NV Primary

Addresses

Primary practice location

3050 East Desert Road
Suite 116
Las Vegas, NV 89121

Mailing address

PO Box 897
Boise, ID 83701
Phone (702) 796-0660

Other identifiers 1

IdentifierTypeStateIssuer
001702150MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1083797484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83701",
            "telephone_number": "702-796-0660",
            "fax_number": "702-796-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 EAST DESERT ROAD",
            "address_2": "SUITE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-796-0660",
            "fax_number": "702-796-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH NEVADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "MASSMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-796-0660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NV",
            "license": "2569NTC-7",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001702150",
            "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 May 24, 2011; 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.