State of Nevada

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STATE OF NEVADA

Practice address

6171 W Charleston Blvd BLDG 15
Las Vegas, NV 89146

Phone

(775) 688-1481

Fax

(775) 688-1230

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF NEVADAAs reported in NPPES

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

Authorized official

Name

Mandi Davis

Title

Deputy Administrator

Phone

(775) 684-7942

Specialties & licenses 1

Addresses

Other names 1

• SR Mobile Crisis Response Team Other name

Tax ID family

State of Nevada2 organizations share this tax ID, including this one

Part of

State of Nevada

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• State of Nevada

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1992314264
  NPD tax ID

Locations

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1821607193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 ENTERPRISE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121666",
            "telephone_number": "775-688-1600",
            "fax_number": "775-688-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD BLDG 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "775-688-1481",
            "fax_number": "775-688-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEVADA",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "775-684-7942"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SR Mobile Crisis Response Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• State of Nevada
• State of Nevada
• State of Nevada
• State of Nevada (Southern Nevada Adult Mental Health Services)
• State of Nevada (PRTF Services for Children - Oasis)
• State of Nevada
• State of Nevada
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)
• State of Nevada

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.