Organization Active NPI

Prosperity Mental Health, Inc.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1255758918
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROSPERITY MENTAL HEALTH, INC.
Practice address
1433 N Jones Blvd
Las Vegas, NV 89108-1610
Phone
(702) 419-1222
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. David J Otto, J.D.NPI 1659798312
Title
President
Phone
(702) 419-1222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1433 N Jones Blvd
Las Vegas, NV 89108-1610

Mailing address

1433 N Jones Blvd
Las Vegas, NV 89108-1610
Phone (702) 419-1222

National Provider Directory

National Provider Directory

Locations

1433 N Jones Blvd
Las Vegas, NV 89108
Phone (702) 419-1222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1255758918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081610",
            "telephone_number": "702-419-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081610",
            "telephone_number": "702-419-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-419-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 19, 2014; 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.