Organization Active NPI

Adversities N Time LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1407473416
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVERSITIES N TIME LLC
Practice address
820 E Charleston Blvd
Las Vegas, NV 89104-1512
Phone
(702) 329-4991
Fax
(702) 920-8848
NPI assigned
Jun 26, 2020
Organization subpart
Yes
Parent organization
ADVERSITIES N TIME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Casia Marie Cook
Title
Owner
Phone
(702) 329-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

820 E Charleston Blvd
Las Vegas, NV 89104-1512

Mailing address

5546 Camino Al Norte # 2-304
North Las Vegas, NV 89031-0805
Phone (702) 329-4991

Other practice location 1

826 E Charleston Blvd
Las Vegas, NV 89104-1512
Phone (702) 329-4991

National Provider Directory

National Provider Directory
Tax ID family
Adversities N Time LLC2 organizations share this tax ID, including this one
Part of
Adversities N Time LLC

Other organizations with this tax ID 1

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

Locations

5546 Camino Al Norte
#2304
North Las Vegas, NV 89031

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1407473416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 CAMINO AL NORTE # 2-304",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310805",
            "telephone_number": "702-329-4991",
            "fax_number": "702-920-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041512",
            "telephone_number": "702-329-4991",
            "fax_number": "702-920-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 E Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891041512",
            "country_code": "US",
            "telephone_number": "702-329-4991",
            "fax_number": "702-920-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVERSITIES N TIME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVERSITIES N TIME LLC",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CASIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-329-4991"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jun 26, 2020; 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.