Nevada Neurofeedback and Hypnosis LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEVADA NEUROFEEDBACK AND HYPNOSIS LLC

Practice address

2100 S Maryland Pkwy Ste 5
Las Vegas, NV 89104-3225

Phone

(702) 329-4262

Fax

(702) 825-0015

NPI assigned

Oct 31, 2018

Last updated

Aug 9, 2021By 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. Louis M Haynie, LCSWNPI 1902337769

Title

Managing Partner

Phone

(702) 329-4262

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Louis Haynie, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1902337769
  Authorized official Same address or phone
• Shakara Artis

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1255627410
  NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1487121190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 E. LAKE MEAD BLVD",
            "address_2": "SUITE 6 #200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566767",
            "telephone_number": "702-329-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MARYLAND PKWY STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043225",
            "telephone_number": "702-329-4262",
            "fax_number": "702-825-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA NEUROFEEDBACK AND HYPNOSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-329-4262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 9, 2021; 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.