NPIMap

Organization Active NPI

A List Family Services, LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1184942815
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NV10794 Issued in NV
Legal business name
A LIST FAMILY SERVICES, LLC
Practice address
3960 E Patrick LN Ste 101
Las Vegas, NV 89120-4902
Phone
(702) 998-6264
Fax
(702) 998-6270
NPI assigned
May 5, 2010
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Mr. Ualapa Mika Fonotisatele Jr., QMHA-ASSOCIATESNPI 1306137740
Title
President/Owner
Phone
(702) 321-9273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001471 NV
Counselor 101Y00000X CP0090 NV
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Internal Medicine Physician 207R00000X NV5802 NV
Psychiatry Physician 2084P0800X NV10794 NV Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

3960 E Patrick LN Ste 101
Las Vegas, NV 89120-4902

Mailing address

3960 E Patrick LN Ste 101
Las Vegas, NV 89120-4902
Phone (702) 998-6264

National Provider Directory

National Provider Directory

Locations

3960 E Patrick Ln
Ste 101
Las Vegas, NV 89120
Phone (702) 998-6264

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1184942815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 E PATRICK LN STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204902",
            "telephone_number": "702-998-6264",
            "fax_number": "702-998-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E PATRICK LN STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204902",
            "telephone_number": "702-998-6264",
            "fax_number": "702-998-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIST FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "FONOTISATELE",
        "authorized_official_first_name": "UALAPA",
        "authorized_official_middle_name": "MIKA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-321-9273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "QMHA-ASSOCIATES"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001471",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "CP0090",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "NV5802",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "NV10794",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2015; 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.