Organization Active NPI

Therapeutic Integrated Medical Care Inc

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1740770643
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Practice address
3111 S Maryland Pkwy
Las Vegas, NV 89109-2331
Phone
(702) 617-6313
Fax
(702) 901-7224
NPI assigned
May 16, 2018
Organization subpart
Yes
Parent organization
THERAPEUTIC INTEGRATED MEDICAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Roxana Valeton
Title
President
Phone
(305) 303-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3111 S Maryland Pkwy
Las Vegas, NV 89109-2331

Mailing address

3111 S Maryland Pkwy
Las Vegas, NV 89109-2331
Phone (702) 617-6313

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Integrated Medical Care Inc3 organizations share this tax ID, including this one
Part of
Therapeutic Integrated Medical Care Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1740770643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092331",
            "telephone_number": "702-617-6313",
            "fax_number": "702-901-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092331",
            "telephone_number": "702-617-6313",
            "fax_number": "702-901-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTEGRATED MEDICAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC INTEGRATED MEDICAL CARE INC",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "VALETON",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-303-8108"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2018; 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.