Dr. Miriam & Sheldon G Adelson Clinic for Drug Abuse Treatment & Resea

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2583NTC-15 Issued in NV

Legal business name

DR. MIRIAM & SHELDON G ADELSON CLINIC FOR DRUG ABUSE TREATMENT & RESEA

Practice address

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

Phone

(702) 735-7900

Fax

(702) 735-0081

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Dinita Smith

Title

Director

Phone

(702) 735-7900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

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.

• Dr Miriam & Sheldon G Adelson Clinic of Drug Abuse Treatment & Researc

  • Addiction Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1588703698
  NPD tax ID
• Dr. Miriam & Sheldon Adelson Clinic for Drug Abuse Treatment & Researc

  • Case Management Agency
  • Las Vegas, NV
  • NPI 1114365731
  NPD tax ID

Locations

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1174064786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MARYLAND PKWY",
            "address_2": "STE 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": "STE 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 G ADELSON CLINIC FOR DRUG ABUSE TREATMENT & RESEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DINITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-735-7900"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "2583NTC-15",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.