Active NPI
Corporate Behavioral Partners, LLC
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1336442987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2524-C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.