NPIMap

Organization Active NPI

Ims Behavioral Health Services LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1295215721
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IMS BEHAVIORAL HEALTH SERVICES LLC
Practice address
1600 E Desert Inn Rd Ste 188
Las Vegas, NV 89169-2505
Phone
(602) 434-3206
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Mayen Akpan
Title
Manager
Phone
(602) 434-3206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X NV Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X AZ

Addresses

Primary practice location

1600 E Desert Inn Rd Ste 188
Las Vegas, NV 89169-2505

Mailing address

1600 E Desert Inn Rd Ste 188
Las Vegas, NV 89169-2505
Phone (602) 434-3206

Other identifiers 3

IdentifierTypeStateIssuer
1841737111MedicaidNV
1134627276MedicaidNV
1164926531MedicaidNV

Other names 1

  • IMS Behavioral Health Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1600 E Desert Inn Rd
Ste 188
Las Vegas, NV 89169
Phone (602) 434-3206

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1295215721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 188",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "602-434-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 188",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "602-434-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "AKPAN",
        "authorized_official_first_name": "MAYEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-434-3206"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841737111",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134627276",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164926531",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMS Behavioral Health Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IMS Behavioral Health Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 15, 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.