Organization Active NPI

New Visions Behavioral Health Academy LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1104161207
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW VISIONS BEHAVIORAL HEALTH ACADEMY LLC
Practice address
3550 W. Cheyenne Ave.
Ste. 110
North Las Vegas, NV 89032-8252
Phone
(702) 570-5421
Fax
(702) 570-5062
NPI assigned
Nov 30, 2012
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Andre Lorenzo Bailey
Title
Owner
Phone
(702) 506-3921

Specialties & licenses 1

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

Addresses

Primary practice location

3550 W. Cheyenne Ave.
Ste. 110
North Las Vegas, NV 89032-8252

Mailing address

3550 W. Cheyenne Ave.
Ste. 110
North Las Vegas, NV 89032-8252
Phone (702) 570-5421

National Provider Directory

National Provider Directory

Locations

3550 W Cheyenne Ave
Ste 110
North Las Vegas, NV 89032
Phone (702) 570-5421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1104161207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 W. CHEYENNE AVE.",
            "address_2": "STE. 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328252",
            "telephone_number": "702-570-5421",
            "fax_number": "702-570-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W. CHEYENNE AVE.",
            "address_2": "STE. 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328252",
            "telephone_number": "702-570-5421",
            "fax_number": "702-570-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISIONS BEHAVIORAL HEALTH ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-506-3921"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 2, 2019; 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.