NPIMap

Organization Active NPI

Nova Behavioral Services

  • Community/Behavioral Health Agency
  • Sparks, NV
National Provider Identifier
1790036309
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20101103448 Issued in NV
Legal business name
NOVA BEHAVIORAL SERVICES
Practice address
4860 Vista Blvd
Suite 200
Sparks, NV 89436-2863
Phone
(866) 832-3015
Fax
(775) 737-4332
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Mathias X Cone
Title
Chief Operating Officer
Phone
(866) 832-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20101103448 NV Primary

Addresses

Primary practice location

4860 Vista Blvd
Suite 200
Sparks, NV 89436-2863

Mailing address

PO Box 51354
Sparks, NV 89435-1354
Phone (866) 832-3015

National Provider Directory

National Provider Directory
Tax ID family
Nova Behavioral Services2 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

4860 Vista Blvd
Ste 200
Sparks, NV 89436
Phone (408) 600-9317

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1790036309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51354",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894351354",
            "telephone_number": "866-832-3015",
            "fax_number": "775-737-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 VISTA BLVD",
            "address_2": "SUITE 200",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362863",
            "telephone_number": "866-832-3015",
            "fax_number": "775-737-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "18668323015"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20101103448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.