NPIMap

Organization Active NPI

BPT Phase2 LLC

Doing business as Mile High Mental Health Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1457632499
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BPT PHASE2 LLC
Doing business as
Mile High Mental Health Services
Practice address
3674 N Rancho Dr
Suite 101
Las Vegas, NV 89130-3110
Phone
(702) 396-2988
Fax
(510) 281-6883
NPI assigned
Sep 5, 2011
Last updated
Sep 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

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

Authorized official

Name
Percy Irving
Title
President & Coo
Phone
(510) 385-4456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3674 N Rancho Dr
Suite 101
Las Vegas, NV 89130-3110

Mailing address

1034 10TH St
Oakland, CA 94607-2720

Other names 1

  • Mile High Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

3674 N Rancho Dr
Ste 101
Las Vegas, NV 89130
Phone (702) 302-3352

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315180800000",
    "number": "1457632499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 10TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 N RANCHO DR",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303110",
            "telephone_number": "702-396-2988",
            "fax_number": "510-281-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPT PHASE2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "PERCY",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "510-385-4456"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2011; 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.