Virtual Healthcare Network LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VIRTUAL HEALTHCARE NETWORK LLC

Practice address

275 Grand Teton Dr
Henderson, NV 89074-4162

Phone

(702) 898-2689

Fax

(702) 898-2689

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Kim O Crandell

Title

Ceo

Phone

(702) 898-2689

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1174772602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50413",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160413",
            "telephone_number": "702-898-2689",
            "fax_number": "702-898-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAND TETON DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890744162",
            "telephone_number": "702-898-2689",
            "fax_number": "702-898-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL HEALTHCARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "CRANDELL",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-898-2689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.