Organization Active NPI

Otac Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1417513656
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OTAC BEHAVIORAL HEALTH SERVICES, LLC
Practice address
2008 Hamilton LN Ste 6
Las Vegas, NV 89106-4051
Phone
(702) 649-2000
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Jo Cato
Title
Administrator
Phone
(702) 649-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2008 Hamilton LN Ste 6
Las Vegas, NV 89106-4051

Mailing address

2008 Hamilton LN Ste 6
Las Vegas, NV 89106-4051
Phone (702) 649-2000

National Provider Directory

National Provider Directory

Locations

2008 Hamilton Ln
Ste 6
Las Vegas, NV 89106
Phone (702) 649-2000

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1417513656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 HAMILTON LN STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064051",
            "telephone_number": "702-649-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 HAMILTON LN STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064051",
            "telephone_number": "702-649-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTAC BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-649-2000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 May 14, 2019; 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.