NPIMap

Organization Active NPI

Goldsmith Healthcare, LTD

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1508246752
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6116 Issued in NV
Legal business name
GOLDSMITH HEALTHCARE, LTD
Practice address
5375 S Fort Apache Rd
102-103
Las Vegas, NV 89148-7623
Phone
(702) 646-9444
Fax
(702) 646-9022
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Ivan Lee Goldsmith, M.D.
Title
Owner/Director
Phone
(702) 646-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6116 NV Primary

Addresses

Primary practice location

5375 S Fort Apache Rd
102-103
Las Vegas, NV 89148-7623

Mailing address

5375 S Fort Apache Rd
102-103
Las Vegas, NV 89148-7623
Phone (702) 646-9444

Other identifiers 2

IdentifierTypeStateIssuer
6116OtherNVNV MEDICAL LICENSE
2019160MedicaidNV

Other names 1

  • Innovative Care Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goldsmith Healthcare LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1508246752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD",
            "address_2": "102-103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487623",
            "telephone_number": "702-646-9444",
            "fax_number": "702-646-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD",
            "address_2": "102-103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487623",
            "telephone_number": "702-646-9444",
            "fax_number": "702-646-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSMITH HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-646-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "6116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "6116",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019160",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2015; 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.