Organization Active NPI

Southern Nevada Behavioral Health Authority LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1770960874
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC
Practice address
6857 W Charleston Blvd
Las Vegas, NV 89117-1600
Phone
(702) 586-3050
Fax
(702) 586-3062
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mitriece Amelia Sumbry, QMHA
Title
Director of Operations
Phone
(702) 586-3050

Specialties & licenses 1

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

Addresses

Primary practice location

6857 W Charleston Blvd
Las Vegas, NV 89117-1600

Mailing address

6883 W Charleston Blvd Ste a
Las Vegas, NV 89117-1645
Phone (702) 586-3050

Other names 1

  • SNBHA Doing business as

National Provider Directory

National Provider Directory

Locations

6857 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 258-6437

6883 W Charleston Blvd
Ste A
Las Vegas, NV 89117

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770960874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6883 W CHARLESTON BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171645",
            "telephone_number": "702-586-3050",
            "fax_number": "702-586-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171600",
            "telephone_number": "702-586-3050",
            "fax_number": "702-586-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUMBRY",
        "authorized_official_first_name": "MITRIECE",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "702-586-3050",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNBHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.