Organization Active NPI

Goals for Autism, Inc.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1336791920
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOALS FOR AUTISM, INC.
Practice address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone
(888) 531-8385
Fax
(925) 264-1902
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Adryon Ketcham
Title
Ceo
Phone
(415) 915-9408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506

Mailing address

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (888) 531-8385

National Provider Directory

National Provider Directory
Tax ID family
Goals for Autism Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1336791920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "888-531-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "888-531-8385",
            "fax_number": "925-264-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOALS FOR AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "KETCHAM",
        "authorized_official_first_name": "ADRYON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-915-9408"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 20, 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.