Collaboration Center Foundation

Primary specialty

PsychoanalystTaxonomy code 102L00000X

Legal business name

COLLABORATION CENTER FOUNDATION

Doing business as

Collaboration Center Foundation

Practice address

8390 W Windmill LN
Las Vegas, NV 89113-4420

Phone

(702) 329-3208

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynda Tache

Title

Ceo

Phone

(702) 217-4194

Specialties & licenses 1

Addresses

Other names 1

• Collaboration Center Foundation Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: pathways@collablv.org

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1447962071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W WINDMILL LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134420",
            "telephone_number": "702-329-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W WINDMILL LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134420",
            "telephone_number": "702-329-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATION CENTER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "TACHE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-217-4194"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pathways@collablv.org",
            "affiliation": "N",
            "address_1": "8390 W Windmill Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891134420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Collaboration Center Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Edward Colin
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• Joyce D Collado
• Melody Cal Collado
• Tammy Collander
• Valentina Collantes
• Anay Collazo Melo

• Psychoanalyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychoanalyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.