NPIMap

Organization Active NPI

Silver State Health Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1396200838
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SILVER STATE HEALTH SERVICES
Practice address
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone
(702) 471-0420
Fax
(702) 471-0421
NPI assigned
Feb 8, 2019
Organization subpart
Yes
Parent organization
SILVER STATE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Pauline Mah
Title
Coo
Phone
(702) 808-5739

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

1909 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

2255A Renaissance Dr
Las Vegas, NV 89119-6194

Other names 1

  • Silver State BH at Renaissance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver State Health Services5 organizations share this tax ID, including this one
Part of
Silver State Health Services

Other organizations with this tax ID 4

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

Locations

2255A Renaissance Dr
Las Vegas, NV 89119

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1396200838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255A RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-471-0420",
            "fax_number": "702-471-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER STATE HEALTH SERVICES",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-808-5739"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State BH at Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2022; 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.