Organization Active NPI

Corporate Behavioral Partners, LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1336442987
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2524-C Issued in NV
Legal business name
CORPORATE BEHAVIORAL PARTNERS, LLC
Practice address
8565 S Eastern Ave Ste 178
Las Vegas, NV 89123-2907
Phone
(702) 271-5957
Fax
(702) 294-2866
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Mr. Brent M Reynolds, MSW, LCSW
Title
Managing Member
Phone
(702) 271-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2524-C NV Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 178
Las Vegas, NV 89123-2907

Mailing address

8565 S Eastern Ave Ste 178
Las Vegas, NV 89123-2907
Phone (702) 271-5957

National Provider Directory

National Provider Directory

Locations

8565 S Eastern Ave
Ste 178
Las Vegas, NV 89123
Phone (310) 890-0599

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1336442987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 178",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-271-5957",
            "fax_number": "702-294-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 178",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-271-5957",
            "fax_number": "702-294-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE BEHAVIORAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-271-5957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2524-C",
            "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 Feb 25, 2015; 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.