McDonnell Step Up I

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCDONNELL STEP UP I

Practice address

1072 W Bartlett Ave
Las Vegas, NV 89106-2218

Phone

(702) 241-5472

Fax

(702) 410-8016

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By 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

Mr. Bill McDonnell II

Title

Manager

Phone

(702) 241-5472

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1457752834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 W BARTLETT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062218",
            "telephone_number": "702-241-5472",
            "fax_number": "702-410-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 W BARTLETT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062218",
            "telephone_number": "702-241-5472",
            "fax_number": "702-410-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONNELL STEP UP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-241-5472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Andrew McDonald, MD
• Synava McDonald
• Tavanna Nicole McDonald
• Temieka McDonald
• Vontae McDonald
• Alma McDonnell
• Bill McDonnell
• James McDonnell
• Katherine McDonnell
• Victoria McDonnell

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.