Yp Crabb PHD Porfessional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PY0523 Issued in NV

Legal business name

YP CRABB PHD PORFESSIONAL CORPORATION

Doing business as

Las Vegas Mental Health Associates

Practice address

3311 S Rainbow Blvd Ste 106
Las Vegas, NV 89146-6596

Phone

(702) 685-5668

Fax

(702) 685-0534

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yangcha P. Crabb, PHD

Title

President

Phone

(702) 685-5668

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Las Vegas Mental Health Associates Doing business as

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1740459908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "702-685-5668",
            "fax_number": "702-685-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "702-685-5668",
            "fax_number": "702-685-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YP CRABB PHD PORFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "YANGCHA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-685-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "PY0523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457419251",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11828806",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Mental Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anabel Yraola Perez
• Eleonor Fabinal Yrigan
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• Marien Yruretagoyena
• Grethel Ysac

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.