Back on Track Health Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

NV20181391287 Issued in NV

Legal business name

BACK ON TRACK HEALTH SERVICES INC

Practice address

2780 S Jones Blvd Ste 2003120
Las Vegas, NV 89146-5628

Phone

(702) 379-8926

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole ChavezNPI 1184119588

Title

President

Phone

(702) 379-8926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nicole Chavez

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1184119588
  NPD (past) Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1780177626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 2003120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "702-379-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 2003120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "702-379-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-379-8926",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NV",
            "license": "NV20181391287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssia Bachus
• Shana Quinn Bachus, BASW
• Marie Baciak
• Back in Motion Chiropractic PLLC
• Back in Step
• Back to Health Chiropractic
• Tara Backer
• Elaine Backman, BC-HIS
• Brittany Wincia Backofen, MS, LAT, ATC
• Jeffrey Cameron Backofen, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.