NPIMap

Organization Active NPI

Creative Behavioral Connections LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1750754107
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20141631437 Issued in NV
Legal business name
CREATIVE BEHAVIORAL CONNECTIONS LLC
Practice address
5831 W Craig Rd # 106
Las Vegas, NV 89130-2579
Phone
(702) 901-5200
Fax
(702) 901-5201
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Abby Grossa
Title
Cfo
Phone
(702) 338-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20141631437 NV Primary

Addresses

Primary practice location

5831 W Craig Rd # 106
Las Vegas, NV 89130-2579

Mailing address

3634 N Rancho Dr
Las Vegas, NV 89130-3149
Phone (702) 338-8373

National Provider Directory

National Provider Directory
Tax ID family
Creative Behavioral Connections4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5831 W Craig Rd
#106
Las Vegas, NV 89130
Phone (702) 901-5200

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1750754107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303149",
            "telephone_number": "702-338-8373",
            "fax_number": "702-645-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 W CRAIG RD # 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302579",
            "telephone_number": "702-901-5200",
            "fax_number": "702-901-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE BEHAVIORAL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "GROSSA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-338-8373"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20141631437",
            "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 Nov 6, 2015; 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.