Organization Active NPI

Clark County Behavioral Health Services LLC

  • Community Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1639733579
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CLARK COUNTY BEHAVIORAL HEALTH SERVICES LLC
Practice address
4440 S Eastern Ave
Las Vegas, NV 89119-7825
Phone
(702) 444-0599
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Meilan L Daguman, NP
Title
NP
Phone
(702) 815-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

4440 S Eastern Ave
Las Vegas, NV 89119-7825

Mailing address

2375 E Tropicana Ave Ste 144
Las Vegas, NV 89119-6564
Phone (702) 244-0665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639733579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E TROPICANA AVE STE 144",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196564",
            "telephone_number": "702-244-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-444-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DAGUMAN",
        "authorized_official_first_name": "MEILAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "702-815-6350",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community 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 Jun 11, 2019; 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.