NPIMap

Organization Active NPI

Alagacare,LLC

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1669903415
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1220 Issued in ZZ
Legal business name
ALAGACARE,LLC
Practice address
1810 E Sahara Ave
108
Las Vegas, NV 89104-3707
Phone
(702) 727-3902
Fax
(702) 369-1290
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Widnert Leurgiste, M.D
Title
Therapist
Phone
(702) 904-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1220 ZZ Primary

Addresses

Primary practice location

1810 E Sahara Ave
108
Las Vegas, NV 89104-3707

Mailing address

7001 W Charleston Blvd Apt 1062
Las Vegas, NV 89117-1654
Phone (702) 904-5770

Other names 1

  • Vegas Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alagacarellc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1810 E Sahara Ave
#108
Las Vegas, NV 89104
Phone (702) 727-3902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1669903415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W CHARLESTON BLVD APT 1062",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171654",
            "telephone_number": "702-904-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "address_2": "108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "702-727-3902",
            "fax_number": "702-369-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAGACARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "LEURGISTE",
        "authorized_official_first_name": "WIDNERT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "702-904-5770",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ZZ",
            "license": "1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Behavioral Health Services",
            "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 Mar 23, 2017; 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.