Enki Medical Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENKI MEDICAL CENTER LLC

Practice address

3606 Algonquin Dr
Las Vegas, NV 89169-3150

Phone

(702) 510-9587

Fax

(702) 920-7677

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Yusimi Lopez RamosNPI 1104501717

Title

Owner

Phone

(702) 510-9587

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yusimi Lopez Ramos

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1104501717
  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1366127789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 EL ESCORIAL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216805",
            "telephone_number": "702-510-9587",
            "fax_number": "702-920-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 ALGONQUIN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693150",
            "telephone_number": "702-510-9587",
            "fax_number": "702-920-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENKI MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ RAMOS",
        "authorized_official_first_name": "YUSIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-510-9587"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.