NPIMap

Organization Active NPI

Lions Crest L.L.C.

  • Rehabilitation Psychologist
  • Las Vegas, NV
National Provider Identifier
1861834186
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
LIONS CREST L.L.C.
Practice address
5420 W Sahara Ave Ste 102-2
Las Vegas, NV 89146-0394
Phone
(702) 485-5050
Fax
(702) 485-5207
NPI assigned
Jul 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Mr. Wascar CruzNPI 1932537255
Title
Owner
Phone
(702) 485-5050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

5420 W Sahara Ave Ste 102-2
Las Vegas, NV 89146-0394

Mailing address

5420 W Sahara Ave Ste 102-2
Las Vegas, NV 89146-0394
Phone (702) 485-5050

National Provider Directory

National Provider Directory
Tax ID family
Lions Crest LLC2 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

5420 W Sahara Ave
Ste 1022
Las Vegas, NV 89146
Phone (702) 485-5050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1861834186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE STE 102-2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460394",
            "telephone_number": "702-485-5050",
            "fax_number": "702-485-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE STE 102-2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460394",
            "telephone_number": "702-485-5050",
            "fax_number": "702-485-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONS CREST L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "WASCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-485-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 25, 2013; 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.