Halo Health Clinic Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HALO HEALTH CLINIC INC

Practice address

1707 Village Center Cir Ste 250
Las Vegas, NV 89134-0597

Phone

(702) 718-7353

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Paul Manley

Title

Owner

Phone

(702) 805-2069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Munachi Queena Ezenwata, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1194356733

  Psychiatry

  Medicare reassignment NPD
• Roscelle J Minoza, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1275153884
  Medicare reassignment NPD
• Katelyn Ruth Scott

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1205614500

  Psychiatry

  Medicare reassignment NPD
• Crystal Soto

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1821649104
  Medicare reassignment NPD
• Brenda Kanyua Kimathi, PMHNP-BC/ RN

  • Registered Nurse
  • Diamond Bar, CA
  • NPI 1538741426

  NV, Psychiatry

  Medicare reassignment NPD
• Vahid Osman, MD

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1740264720

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1255028940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340597",
            "telephone_number": "702-718-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340597",
            "telephone_number": "702-718-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-805-2069"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Halloran
• Hallow Hands Home Care LTD
• Hallowell Dialysis, LLC
• Shamiah Raeanna Halls-Biggers
• Karen Hallup
• Halo Health Group Inc
• Halo Health LLC
• Halo Health Summerlin LLC
• Halo Home Concierge Inc
• Tyler Halpin

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.