NPIMap

Organization Active NPI

Sandal Kelly PHD

  • Migrant Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1760811798
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Migrant Health Clinic/CenterTaxonomy code 261QM1000X
License
MFT 01002 Issued in NV
Legal business name
SANDAL KELLY PHD
Practice address
6531 Plum Orchard Cir
Las Vegas, NV 89142-0966
Phone
(702) 255-0056
Fax
(702) 255-0076
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Sandal Arlillian Kelly, PHD, LMVT
Title
Ceo
Phone
(702) 255-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X MFT 01002 NV Primary

Addresses

Primary practice location

6531 Plum Orchard Cir
Las Vegas, NV 89142-0966

Mailing address

6531 Plum Orchard Cir
Las Vegas, NV 89142-0966
Phone (702) 255-0056

National Provider Directory

National Provider Directory
Tax ID family
Abet Counseling Associates2 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.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1760811798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 PLUM ORCHARD CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420966",
            "telephone_number": "702-255-0056",
            "fax_number": "702-255-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 PLUM ORCHARD CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420966",
            "telephone_number": "702-255-0056",
            "fax_number": "702-255-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDAL KELLY PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SANDAL",
        "authorized_official_middle_name": "ARLILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-255-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMVT"
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "NV",
            "license": "MFT 01002",
            "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 12, 2013; 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.