NPIMap

Organization Active NPI

Phoenix Behavioral Group LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1104455476
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX BEHAVIORAL GROUP LLC
Practice address
830 E Sahara Ave
Las Vegas, NV 89104-3009
Phone
(702) 334-4515
Fax
(702) 441-1966
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Mrs. Yesica Y Sanchez
Title
Manager
Phone
(702) 334-4515

Specialties & licenses 1

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

Addresses

Primary practice location

830 E Sahara Ave
Las Vegas, NV 89104-3009

Mailing address

830 E Sahara Ave
Las Vegas, NV 89104-3009
Phone (702) 334-4515

Other names 1

  • Phoenix Behavioral Group LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL location Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1104455476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043009",
            "telephone_number": "702-334-4515",
            "fax_number": "702-441-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043009",
            "telephone_number": "702-334-4515",
            "fax_number": "702-441-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "YESICA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-334-4515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "location",
            "affiliation": "N",
            "endpointDescription": "place of business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "830 E Sahara Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891043009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Behavioral Group LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Behavioral Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2021; 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.