Active NPI
Brooks Global Incorporated
- Community/Behavioral Health Agency
- N Las Vegas, NV
National Provider Identifier
1255817466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20181495070
- Legal business name
- BROOKS GLOBAL INCORPORATED
- Practice address
- 5817 Magic Oak St
N Las Vegas, NV 89031-6884 - Phone
- (702) 743-1999
- NPI assigned
- Jul 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Brooks Sr.
- Title
- Director
- Phone
- (702) 743-1999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV20181495070 | NV | Primary |
Addresses
Primary practice location
5817 Magic Oak St
N Las Vegas, NV 89031-6884
Mailing address
5817 Magic Oak St
N Las Vegas, NV 89031-6884
Phone (702) 743-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20181495070 | Medicaid | NV |
Other names 1
- Mental Health Achievement Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531267200000",
"number": "1255817466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5817 MAGIC OAK ST",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890316884",
"telephone_number": "702-743-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5817 MAGIC OAK ST",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890316884",
"telephone_number": "702-743-1999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS GLOBAL INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-743-1999",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "NV20181495070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NV20181495070",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mental Health Achievement Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.