E&a Behavioral and Mental Health Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

213013 Issued in NV

Legal business name

E&A BEHAVIORAL AND MENTAL HEALTH SERVICES, INC.

Practice address

401 Dayton Valley Rd
Suite H
Dayton, NV 89403-8928

Phone

(775) 841-3116

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Anthony Edwards, PH.D.NPI 1003939356

Title

President

Phone

(775) 841-3116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kenneth Anthony Edwards, PH.D.

  • Forensic Psychologist
  • Mound House, NV
  • NPI 1003939356
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1730202086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894030115",
            "telephone_number": "775-841-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DAYTON VALLEY RD",
            "address_2": "SUITE H",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038928",
            "telephone_number": "775-841-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&A BEHAVIORAL AND MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-841-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "213013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "E0641862005-6",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destaine Dewey
• Juliana Dixon
• Sara Douglas, NP
• Kristin Larae Drinnon, RDH
• Leon Dura, M.D.
• Julio Edgardo Escobar, DDS
• Christian Evans, DPT
• Colton Anthony Frazier, DPT
• Stephen Frugoli, DMD
• Cameryn Maegen Garmire

• All providers in Dayton, NV
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.