Active NPI
Sanctuary Treatment Center PLLC
- Psychiatry Physician
- Henderson, NV
National Provider Identifier
1124728852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SANCTUARY TREATMENT CENTER PLLC
- Practice address
- 9017 S Pecos Rd Ste 4550
Henderson, NV 89074-6621 - Phone
- (602) 768-6704
- Fax
- (325) 289-6197
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Qingchuan Wang, CPA
- Title
- Coo & Cfo
- Phone
- (602) 768-6706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
9017 S Pecos Rd Ste 4550
Henderson, NV 89074-6621
Mailing address
9017 S Pecos Rd Ste 4550
Henderson, NV 89074-6621
Phone (725) 225-2649
National Provider Directory
National Provider DirectoryLocations
9017 S Pecos Rd
Ste 4550
Henderson, NV 89074
Phone (725) 225-2649
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1427448893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1124728852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9017 S PECOS RD STE 4550",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746621",
"telephone_number": "725-225-2649",
"fax_number": "325-289-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9017 S PECOS RD STE 4550",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746621",
"telephone_number": "602-768-6704",
"fax_number": "325-289-6197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY TREATMENT CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "QINGCHUAN",
"authorized_official_title_or_position": "COO & CFO",
"authorized_official_telephone_number": "602-768-6706",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.