NPIMap

Organization Active NPI

State of Nevada - DWTC

Doing business as Desert Willow Treatment Center

  • Psychiatric Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1811953003
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
STATE OF NEVADA - DWTC
Doing business as
Desert Willow Treatment Center
State of Nevada
Practice address
6171 W Charleston Blvd BLDG 17
Las Vegas, NV 89146-1126
Phone
(702) 486-6100
Fax
(702) 486-6057
NPI assigned
Apr 25, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Sandra Stone
Title
Ma4
Phone
(702) 486-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

6171 W Charleston Blvd BLDG 17
Las Vegas, NV 89146-1126

Mailing address

500 E Warm Springs Rd Ste 100
Las Vegas, NV 89119-4345
Phone (702) 486-8226

Other identifiers 1

IdentifierTypeStateIssuer
006302200MedicaidNV

Other names 2

  • Desert Willow Treatment Center Doing business as
  • State of Nevada Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Nevada Bureau125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1811953003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194345",
            "telephone_number": "702-486-8226",
            "fax_number": "702-486-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD BLDG 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-6100",
            "fax_number": "702-486-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA - DWTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MA4",
        "authorized_official_telephone_number": "702-486-8226"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006302200",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Willow Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "State of Nevada",
            "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 Aug 5, 2026; 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.