Organization Active NPI

Dr. Miriam & Sheldon Adelson Clinic for Drug Abuse Treatment & Researc

  • Case Management Agency
  • Las Vegas, NV
National Provider Identifier
1114365731
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DR. MIRIAM & SHELDON ADELSON CLINIC FOR DRUG ABUSE TREATMENT & RESEARC
Practice address
3661 S Maryland Pkwy
Suite 64
Las Vegas, NV 89169-3003
Phone
(702) 735-7900
Fax
(702) 735-0081
NPI assigned
Jun 5, 2013
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Shirley Linzy, RN, MS
Title
Clinic Director
Phone
(702) 735-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3661 S Maryland Pkwy
Suite 64
Las Vegas, NV 89169-3003

Mailing address

3661 S Maryland Pkwy
Suite 64
Las Vegas, NV 89169-3003
Phone (702) 735-7900

Other identifiers 1

IdentifierTypeStateIssuer
01702160MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Dr Miriam Sheldon Adelson Clinic for Drug Abuse Treatment Researc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1114365731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MARYLAND PKWY",
            "address_2": "SUITE 64",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693003",
            "telephone_number": "702-735-7900",
            "fax_number": "702-735-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MARYLAND PKWY",
            "address_2": "SUITE 64",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693003",
            "telephone_number": "702-735-7900",
            "fax_number": "702-735-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIRIAM & SHELDON ADELSON CLINIC FOR DRUG ABUSE TREATMENT & RESEARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "LINZY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "702-735-7900",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702160",
            "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 Jun 5, 2013; 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.