NPIMap

Organization Active NPI

Equity Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1265094775
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EQUITY BEHAVIORAL HEALTH LLC
Practice address
2001 S Jones Blvd Ste J
Las Vegas, NV 89146-3165
Phone
(702) 712-0291
NPI assigned
Jul 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Tyron Mallard, MSW, LCPCNPI 1275909889
Title
Owner
Phone
(323) 359-7804

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

2001 S Jones Blvd Ste J
Las Vegas, NV 89146-3165

Mailing address

7099 N Hualapai Way Apt 1116
Las Vegas, NV 89166-1107

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmallard@equitybh.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1265094775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7099 N HUALAPAI WAY APT 1116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S JONES BLVD STE J",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463165",
            "telephone_number": "702-712-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "TYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-359-7804",
        "authorized_official_credential": "MSW, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmallard@equitybh.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 S Jones Blvd Ste J",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891463165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 10, 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.