Active NPI
Nevadas Children and Family LLC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1609685650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NEVADAS CHILDREN AND FAMILY LLC
- Practice address
- 9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425 - Phone
- (702) 305-0652
- NPI assigned
- Jan 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Wiley, LMSW
- Title
- Ceo
- Phone
- (702) 305-0652
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Mailing address
9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone (702) 305-0652
National Provider Directory
National Provider Directory- Tax ID family
- Nevadas Children and Family LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1437968484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735948800000",
"number": "1609685650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 W RUSSELL RD STE 240",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481425",
"telephone_number": "702-305-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 W RUSSELL RD STE 240",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481425",
"telephone_number": "702-305-0652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADAS CHILDREN AND FAMILY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-04",
"last_updated": "2025-01-04",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-305-0652",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.