Individual provider Active NPI

Lynda Maureen Savage, MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1295385169
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0953 Issued in NV
Practice address
4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone
(702) 659-8827
Fax
(702) 852-0984
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0953 NV Primary

Addresses

Primary practice location

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863

Mailing address

100 Park Vista Dr Unit 2013
Las Vegas, NV 89138-3036
Phone (702) 460-0457

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

LicenseStateTypeSpecialty
0953NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Mental Health LLC CurrentSince Sep 15, 2019 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Sep 15, 2019 Accepting new patients

Locations

4170 S Decatur Blvd
Ste C1
Las Vegas, NV 89103
Phone (702) 659-8827

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1295385169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK VISTA DR UNIT 2013",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383036",
            "telephone_number": "702-460-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827",
            "fax_number": "702-852-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "LYNDA",
        "middle_name": "MAUREEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0953",
            "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 Sep 12, 2019; 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.