Lazos Behavioral Center Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

LAZOS BEHAVIORAL CENTER INC

Practice address

730 N Eastern Ave Ste 120
Las Vegas, NV 89101-2885

Phone

(170) 258-0185

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Maria Fernanda Mitchell

Title

Director

Phone

(702) 580-1850

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lazo Doing business as

Electronic endpoints 2

Tax ID family

Lazo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lazos Behavioral Health Center

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1245986033
  NPD tax ID

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1154075570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 SPARKLING SKY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307256",
            "telephone_number": "170-258-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "170-258-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZOS BEHAVIORAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FERNANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-580-1850"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186-27-8662",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "730 N Eastern Ave Ste 120",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891012885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "730 N Eastern Ave Ste 120",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891012885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lazo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Ulanday Lazo, M.D.
• Idalmis Lazo
• Nestor Lazo, LMT
• Victoria Marie Lazo, RN
• Jacqueline Lazootin
• Lazos Behavioral Health Center
• LB Regency Plaza LLC
• LB Therapies LLC
• Lbo LLC
• LBR Mental Health PLLC

• Cognitive & Behavioral Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Cognitive & Behavioral Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.