NPIMap

Organization Active NPI

Board of Regents Nevada System of Higher Education

Doing business as Mojave TCM South

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1841578028
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Doing business as
Mojave TCM South
Practice address
4000 E. Charleston Blvd.
Suite 230
Las Vegas, NV 89104
Phone
(702) 968-5059
Fax
(702) 968-4041
NPI assigned
Jul 22, 2011
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Bart Patterson
Title
Vice Chancelor Administrative & Leg
Phone
(702) 889-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4000 E. Charleston Blvd.
Suite 230
Las Vegas, NV 89104

Mailing address

745 W. Moana Lane
Suite 100
Reno, NV 89509
Phone (702) 968-5059

Other names 1

  • Mojave TCM South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents Uccsn U of NV26 organizations share this tax ID, including this one
Part of
Board of Regents Uccsn U of NV

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1841578028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W. MOANA LANE",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "702-968-5059",
            "fax_number": "702-968-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E. CHARLESTON BLVD.",
            "address_2": "SUITE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-968-5059",
            "fax_number": "702-968-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "VICE CHANCELOR ADMINISTRATIVE & LEG",
        "authorized_official_telephone_number": "702-889-8426"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mojave TCM South",
            "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 Jul 22, 2011; 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.