NPIMap

Organization Active NPI

Peggy Renner PHD Inc.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1457673923
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY0517 Issued in NV
Legal business name
PEGGY RENNER PHD INC.
Practice address
2560 Montessouri St
Suite 207
Las Vegas, NV 89117-3061
Phone
(702) 478-8400
Fax
(702) 478-8500
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Peggy Renner, PHDNPI 1003993049
Title
President
Phone
(702) 478-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY0517 NV Primary

Addresses

Primary practice location

2560 Montessouri St
Suite 207
Las Vegas, NV 89117-3061

Mailing address

2560 Montessouri St
Suite 207
Las Vegas, NV 89117-3061
Phone (702) 478-8400

National Provider Directory

National Provider Directory

Locations

2560 Montessouri St
Ste 207
Las Vegas, NV 89117
Phone (702) 478-5400

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1457673923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 MONTESSOURI ST",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173061",
            "telephone_number": "702-478-8400",
            "fax_number": "702-478-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 MONTESSOURI ST",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173061",
            "telephone_number": "702-478-8400",
            "fax_number": "702-478-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY RENNER PHD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-478-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "PY0517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 24, 2010; 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.