NPIMap

Organization Active NPI

State of Nevada

Doing business as Southern Nevada Adult Mental Health Services

  • Psychiatric Hospital
  • Las Vegas, NV
National Provider Identifier
1134314412
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF NEVADA
Doing business as
Southern Nevada Adult Mental Health Services
Practice address
1650 Community College Dr
Las Vegas, NV 89146-1144
Phone
(702) 486-4400
NPI assigned
Sep 11, 2007
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Lori Judge, MBA
Title
Administrative Services Officer III
Phone
(702) 486-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1650 Community College Dr
Las Vegas, NV 89146-1144

Mailing address

6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone (702) 486-6000

Other identifiers 2

IdentifierTypeStateIssuer
002019897MedicaidNV
VWCHCVOtherNVMEDICARE BILLING GROUP

Other names 1

  • Southern Nevada Adult Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Nevada Bureau125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1134314412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COMMUNITY COLLEGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461144",
            "telephone_number": "702-486-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES OFFICER III",
        "authorized_official_telephone_number": "702-486-6099",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019897",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING GROUP",
            "identifier": "VWCHCV",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada Adult Mental Health Services",
            "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 Jan 28, 2009; 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.