Primewell Solutions Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PRIMEWELL SOLUTIONS BEHAVIORAL HEALTH LLC

Practice address

421 S Decatur Blvd
Las Vegas, NV 89107-2812

Phone

(702) 462-2325

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Jose Antonio DiagoNPI 1801563622

Title

Managing Member

Phone

(702) 350-8216

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Jose Diago

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1801563622
  NPD Authorized official
• Nancy Sablon Diago, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1063754471
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1689426553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 BLACK SWAN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072812",
            "telephone_number": "702-462-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEWELL SOLUTIONS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "DIAGO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-350-8216"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Primerano, LCSW
• Primero Medical LLC
• Alex Primero
• Brenda Gaile Primero, APRN
• Primewell Solutions
• Primewell Solutions LLC
• Stephanie Denise Primm
• Edwin Primo Alvarez
• Primo Medical LLC
• Lajune Primous

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.