NPIMap

Organization Active NPI

Atenea Mental Health LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1780324475
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATENEA MENTAL HEALTH LLC
Practice address
5042 Shadow Boxer CT
Las Vegas, NV 89142-1767
Phone
(702) 788-6219
NPI assigned
Mar 30, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Lisandra Vega CastroNPI 1285235044
Title
Manager
Phone
(702) 788-6219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5042 Shadow Boxer CT
Las Vegas, NV 89142-1767

Mailing address

5042 Shadow Boxer CT
Las Vegas, NV 89142-1767

Other identifiers 1

IdentifierTypeStateIssuer
660890MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ateneamental@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1780324475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 SHADOW BOXER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 SHADOW BOXER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421767",
            "telephone_number": "702-788-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENEA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "VEGA CASTRO",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-788-6219"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660890",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ateneamental@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5042 Shadow Boxer Ct",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891421767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 30, 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.