Nina Clark Anderson New Solutions the Journey

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NINA CLARK ANDERSON NEW SOLUTIONS THE JOURNEY

Practice address

3925 N MLK Blvd Ste 212
North Las Vegas, NV 89032-7676

Phone

(702) 461-1982

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Nina Clark Anderson, LCSW

Title

Therapist/Owner

Phone

(702) 461-1982

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1417405358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 212",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 212",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327676",
            "telephone_number": "702-461-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA CLARK ANDERSON NEW SOLUTIONS THE JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CLARK ANDERSON",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "702-461-1982",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.