Iris Behavioral Health and Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER

Practice address

5876 S Pecos Rd
Las Vegas, NV 89120-3418

Phone

(702) 358-7029

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Okechukwu EtoniruNPI 1346907474

Title

Director

Phone

(702) 358-7029

Specialties & licenses 1

Addresses

Other names 1

• IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Okechukwu Prince Etoniru

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1346907474
  Authorized official Same address or phone

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1306509286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-358-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-358-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ETONIRU",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-358-7029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kira Irenze
• Irfan Tahir MD PLLC
• Irfantahirandassociatesinc
• Reyna Iribar
• Mitzu Irigoyen
• Mana Nicole Iritani
• Iriye and Adashek Chartered (Las Vegas Perinatal Associates)
• Iriye Medical Group PLLC
• Iriye Medical Group PLLC (High Risk Pregnancy Center)
• Brian K Iriye, MD

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.