Organization Active NPI

Redeemer Health Services

  • Health Service Psychologist
  • Henderson, NV
National Provider Identifier
1275029803
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
REDEEMER HEALTH SERVICES
Practice address
624 Bonanza Plain Ave
Henderson, NV 89011-1806
Phone
(702) 630-7273
Fax
(702) 586-7334
NPI assigned
Jul 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Mr. Solomon Ugbodu
Title
President
Phone
(702) 630-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

624 Bonanza Plain Ave
Henderson, NV 89011-1806

Mailing address

624 Bonanza Plain Ave
Henderson, NV 89011-1806
Phone (702) 630-7273

Other names 1

  • REDEEMER HEALTH SERVICES Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1275029803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 BONANZA PLAIN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111806",
            "telephone_number": "702-630-7273",
            "fax_number": "702-586-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 BONANZA PLAIN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111806",
            "telephone_number": "702-630-7273",
            "fax_number": "702-586-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "UGBODU",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-630-7273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDEEMER HEALTH SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 6, 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.

Verify at the official NPI Registry.