Bison Health LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BISON HEALTH LLC

Doing business as

Bison Health

Practice address

11201 N Tatum Blvd Ste 360-42
Phoenix, AZ 85028-6036

Phone

(725) 222-9502

Fax

(725) 209-0381

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Bison, PHDNPI 1891903407

Title

Managing Member

Phone

(725) 222-9502

Specialties & licenses 3

Addresses

Other names 1

• Bison Health Doing business as

Locations

Practitioners 1

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

• Melanie Bison, PHD, LCPC, LCADC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1891903407

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1114506003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD # 149",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "725-222-9502",
            "fax_number": "725-209-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD STE 360-42",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286036",
            "telephone_number": "725-222-9502",
            "fax_number": "725-209-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BISON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "725-222-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bison Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lourdes Haydee Bishop, RN
• Megan Bishop
• Michele Bishop, PH.D., BCBA
• Rebecca Noelle Bishop, MC, NBCC, LAC
• Sandra Veronica Bishop, LCSW
• Taylor M Bisson, PNP
• Amar Bista, M.D.
• Kenneth Stephen Bistricky, M.D.
• Biswas Plastic Surgery, PLLC
• Sreeja Biswas Roy, MD

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.