Active NPI
Angela Michael
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1295154508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20131611035
- Practice address
- 7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088 - Phone
- (702) 751-2797
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV20131611035 | NV | Primary |
Addresses
Primary practice location
7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Mailing address
695 Shepardbush St
Birmingham, MI 48009-5551
Phone (248) 925-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20131611035 | NV | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1295154508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 SHEPARDBUSH ST",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480095551",
"telephone_number": "248-925-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 ARROYO CROSSING PKWY STE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891134088",
"telephone_number": "702-751-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "NV20131611035",
"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 Apr 15, 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.