Active NPI
Dr Therapy Mental Wellness Centers
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
National Provider Identifier
1427659465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theranest.com | Other |
National Provider Directory
National Provider DirectoryNPI 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": []
}
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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.