Steadfast Behavioral Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STEADFAST BEHAVIORAL CLINIC LLC

Practice address

8612 Copper Knoll Ave
Las Vegas, NV 89129-7649

Phone

(323) 338-6101

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Ma Victoria Escarda, APRNNPI 1962883553

Title

Managing Member

Phone

(323) 338-6101

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ma Victoria Manlapas Escarda, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1962883553
  Medicare reassignment NPD Authorized official
• Emma Bernasor Cempron, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1073709192

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Reanna Nicole Gardner, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1932882172
  Medicare reassignment NPD
• Katherine Patterson Willett, PA-C

  • Physician Assistant
  • Eielson Afb, AK
  • NPI 1700320553
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1447866801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 COPPER KNOLL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297649",
            "telephone_number": "323-338-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 COPPER KNOLL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297649",
            "telephone_number": "323-338-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ESCARDA",
        "authorized_official_first_name": "MA VICTORIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-338-6101",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hidy Stavarache, D.D.S.
• Broderick Staves
• Derek Stazenski
• Pamela Lynn Stclair, M.D.
• Ste Medical Equipment Services LLC
• Vanessa Alanah Steadham, BA
• King Grant Steadman, MSW/LCSW
• Steady Horizons LLC
• Kevin Stearns Jr.
• Samantha Olivia Stearns

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.