Organization Active NPI

Your Choice Behaviorial

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1760763783
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
2001065320 Issued in NV
Legal business name
YOUR CHOICE BEHAVIORIAL
Practice address
3785 E Sunset Rd
Ste. a - 10
Las Vegas, NV 89120-6259
Phone
(702) 538-9474
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Mr. Larry Clark
Title
Ceo
Phone
(702) 538-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2001065320 NV Primary

Addresses

Primary practice location

3785 E Sunset Rd
Ste. a - 10
Las Vegas, NV 89120-6259

Mailing address

3785 E Sunset Rd
Ste. a - 10
Las Vegas, NV 89120-6259
Phone (702) 538-9474

National Provider Directory

National Provider Directory
Tax ID family
Your Choice Behavioral Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3785 E Sunset Rd
Ste 10
Las Vegas, NV 89120
Phone (702) 458-4744

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1760763783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 E SUNSET RD",
            "address_2": "STE. A - 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206259",
            "telephone_number": "702-538-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 E SUNSET RD",
            "address_2": "STE. A - 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206259",
            "telephone_number": "702-538-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE BEHAVIORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-538-9474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": "2001065320",
            "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 Sep 3, 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.