Organization Active NPI

Silver State Behavioral Care, LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1659103786
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SILVER STATE BEHAVIORAL CARE, LLC
Practice address
3430 E Russell Rd
Las Vegas, NV 89120-2201
Phone
(443) 366-3344
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Romeo Clarke
Title
Ceo
Phone
(443) 366-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3430 E Russell Rd
Las Vegas, NV 89120-2201

Mailing address

5838 Toscana Trce
Round Rock, TX 78665-4402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1659103786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 TOSCANA TRCE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "443-366-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-366-3344"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "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 Aug 16, 2024; 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.