Organization Active NPI

Momentum Behavioral Services,LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1467725259
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOMENTUM BEHAVIORAL SERVICES,LLC
Practice address
5626 Mammoth Mountain St
North Las Vegas, NV 89081-2419
Phone
(702) 324-2126
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Carolos Pollard
Title
Ceo
Phone
(702) 324-2126

Specialties & licenses 1

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

Addresses

Primary practice location

5626 Mammoth Mountain St
North Las Vegas, NV 89081-2419

Mailing address

5626 Mammoth Mountain St
North Las Vegas, NV 89081-2419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1467725259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 MAMMOTH MOUNTAIN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 MAMMOTH MOUNTAIN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812419",
            "telephone_number": "702-324-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIORAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "CAROLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-324-2126"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 10, 2012; 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.