Specialized Care Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SPECIALIZED CARE SERVICES LLC

Practice address

5615 Cameron St Ste 9
Las Vegas, NV 89118-2233

Phone

(702) 945-8846

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morgan Lee

Title

Director

Phone

(702) 945-8846

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1215544317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 CAMERON ST STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 CAMERON ST STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182233",
            "telephone_number": "702-945-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-945-8846"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.