NPIMap

Organization Active NPI

FMT Behavioral Health Services

Doing business as Oseremen Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1700495884
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FMT BEHAVIORAL HEALTH SERVICES
Doing business as
Oseremen Behavioral Health Services
Practice address
4170 S Decatur Blvd Ste A6
Las Vegas, NV 89103-5862
Phone
(702) 789-8038
Fax
(702) 436-5615
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Mrs. Francisca IyereNPI 1821544982
Title
Ceo
Phone
(702) 789-8038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4170 S Decatur Blvd Ste A6
Las Vegas, NV 89103-5862

Mailing address

1012 Bistro Bay Ave
North Las Vegas, NV 89086-1337
Phone (702) 789-8038

Other names 1

  • Oseremen Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FMT Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4170 S Decatur Blvd
Ste A6
Las Vegas, NV 89103
Phone (702) 789-8038

Practitioners & affiliated clinicians

Practitioners 1

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": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1700495884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 BISTRO BAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861337",
            "telephone_number": "702-789-8038",
            "fax_number": "702-436-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035862",
            "telephone_number": "702-789-8038",
            "fax_number": "702-436-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMT BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "IYERE",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-789-8038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oseremen Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oseremen 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 Aug 6, 2020; 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.