NPIMap

Organization Active NPI

Diagnosticare Inc.

  • Rehabilitation Psychologist
  • Henderson, NV
National Provider Identifier
1265719942
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
DIAGNOSTICARE INC.
Practice address
2904 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-5015
Phone
(702) 463-5993
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mr. Dana Crump Brown
Title
Owner
Phone
(702) 463-5993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X Primary

Addresses

Primary practice location

2904 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-5015

Mailing address

2904 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-5015

National Provider Directory

National Provider Directory
Tax ID family
Diagnosticare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1265719942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 W HORIZON RIDGE PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 W HORIZON RIDGE PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525015",
            "telephone_number": "702-463-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTICARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "CRUMP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-463-5993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.