Organization Active NPI

Dr Therapy Mental Wellness Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1427659465
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DR THERAPY MENTAL WELLNESS CENTERS
Practice address
2915 W Charleston Blvd Ste 125
Las Vegas, NV 89102-1939
Phone
(702) 204-0150
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Ms. Brycelyn N Furr-Patton
Title
Member
Phone
(702) 204-0150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

2915 W Charleston Blvd Ste 125
Las Vegas, NV 89102-1939

Mailing address

4112 Helens Pouroff Ave
North Las Vegas, NV 89085-4460
Phone (702) 204-0150

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest.com Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1427659465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 HELENS POUROFF AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890854460",
            "telephone_number": "702-204-0150",
            "fax_number": "702-998-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W CHARLESTON BLVD STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021939",
            "telephone_number": "702-204-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THERAPY MENTAL WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "FURR-PATTON",
        "authorized_official_first_name": "BRYCELYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-204-0150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest.com",
            "affiliation": "N",
            "endpointDescription": "Theranest",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Records Storage",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "records",
            "address_1": "2915 W Charleston Blvd Ste 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 5, 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.