Active NPI
Vegas Innovative Psychiatry
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1700459773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- VEGAS INNOVATIVE PSYCHIATRY
- Practice address
- 2021 S Jones Blvd
Las Vegas, NV 89146-3137 - Phone
- (702) 202-0099
- NPI assigned
- Jul 19, 2021
- Organization subpart
- Yes
- Parent organization
- VEGAS INNOVATIVE PSYCHIATRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anshon Sears
- Title
- Practice Administrator
- Phone
- (702) 202-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Mailing address
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E6055912020-0 | Medicaid | NV |
Other names 1
- Vegas Innovative Psychiatry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PBO |
National Provider Directory
National Provider Directory- Tax ID family
- Vegas Innovative Psychiatry
- Part of
- Vegas Innovative Psychiatry
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1053931576
-
- Psychologist
- Las Vegas, NV
- NPI 1558981068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626652800000",
"number": "1700459773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEGAS INNOVATIVE PSYCHIATRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VEGAS INNOVATIVE PSYCHIATRY",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-07",
"status": "A",
"authorized_official_last_name": "SEARS",
"authorized_official_first_name": "ANSHON",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "702-202-0099"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E6055912020-0",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PBO",
"affiliation": "N",
"endpointDescription": "PBO",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2021 S Jones Blvd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891463137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Vegas Innovative Psychiatry",
"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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.