NPIMap

Organization Active NPI

Tandem Therapy Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1215056478
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LBA0027 Issued in NV
Legal business name
TANDEM THERAPY SERVICES
Practice address
7261 W Charleston Blvd
#101
Las Vegas, NV 89117-1636
Phone
(702) 396-0101
Fax
(702) 222-0212
NPI assigned
Mar 28, 2007
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. Chris Holcomb, PHD., CCC-SLP, BCBANPI 1386763530
Title
Speech Therapist/Behavior Analyst
Phone
(702) 292-2012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP620 NV
Community/Behavioral Health Agency 251S00000X LBA0027 NV Primary

Addresses

Primary practice location

7261 W Charleston Blvd
#101
Las Vegas, NV 89117-1636

Mailing address

7261 W Charleston Blvd
#101
Las Vegas, NV 89117-1636
Phone (702) 396-0101

Other identifiers 1

IdentifierTypeStateIssuer
100508345MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Tandem Therapy Services2 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.

Practitioners & affiliated clinicians

Practitioners 115

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.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1215056478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171636",
            "telephone_number": "702-396-0101",
            "fax_number": "702-222-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171636",
            "telephone_number": "702-396-0101",
            "fax_number": "702-222-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SPEECH THERAPIST/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "702-292-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., CCC-SLP, BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP620",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "LBA0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508345",
            "state": "NV"
        }
    ],
    "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 Jun 22, 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.