Passion Behavioral Center and Family Services , LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

PASSION BEHAVIORAL CENTER AND FAMILY SERVICES , LLC

Doing business as

Passion Behavioral Center and Family Services , LLC

Practice address

1516 E Tropicana Ave Ste 175
Las Vegas, NV 89119-8322

Phone

(702) 955-0413

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Walts

Title

Ceo

Phone

(707) 349-6919

Specialties & licenses 1

Addresses

Other names 1

• Passion Behavioral Center and Family Services , LLC Doing business as

Locations

Practitioners 1

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

• Kevin Wiltz, CNA

  • Nurse's Aide
  • Las Vegas, NV
  • NPI 1073775367
  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1740981752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198322",
            "telephone_number": "702-955-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198322",
            "telephone_number": "702-955-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION BEHAVIORAL CENTER AND FAMILY SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "WALTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-349-6919"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passion Behavioral Center and Family Services , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mignon Elizabeth Pasqualicchio, MFT
• Christi Delynn Passalacqua
• Steven Mikle Passey, MD
• Alofa Passi
• Genesis Grace Passi
• Passion Care LLC
• Passion Care LLC
• Passion for Life Medical LLC
• Miracle Passmore
• Passport Health

• Behavioral Neurology & Neuropsychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.