Wheatley de Forge Foundation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WHEATLEY DE FORGE FOUNDATION

Doing business as

WHEATLEY DE FORGE Foundation

Practice address

9310 Sun City Blvd Ste 101
Las Vegas, NV 89134-1705

Phone

(702) 250-2520

Fax

(702) 778-9875

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Lenny Deforge

Title

President

Phone

(702) 778-9875

Specialties & licenses 1

Addresses

Other names 1

• WHEATLEY DE FORGE Foundation Doing business as

Locations

Practitioners 1

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.

• Warren John Wheatley, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1033327580
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1487205761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "702-250-2520",
            "fax_number": "702-778-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "702-250-2520",
            "fax_number": "702-778-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 W Oakey Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021506",
            "country_code": "US",
            "telephone_number": "702-778-9875",
            "fax_number": "702-778-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHEATLEY DE FORGE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "DEFORGE",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-778-9875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHEATLEY DE FORGE Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamila Whatley
• Courtney Whatling
• Dekesha Wheat
• Ethan Wheat I
• Lakisha Wheat
• Ray Wheatley-de Forge
• Chad Wheatley, D.C.
• Warren John Wheatley, LCSW
• Clarice Wheaton
• Daniel Edward Wheaton III

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.