Stone Mountain Health Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

STONE MOUNTAIN HEALTH SERVICES LLC

Practice address

6396 McLeod Dr Ste 6
Las Vegas, NV 89120-4429

Phone

(725) 204-1439

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Princess Kendrick

Title

Owner

Phone

(754) 308-4067

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFFDCD

Practitioners 1

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

• Princess Perreira

  • Assistant Behavior Analyst
  • North Las Vegas, NV
  • NPI 1881180917
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1871059402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204429",
            "telephone_number": "725-204-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204429",
            "telephone_number": "725-204-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MOUNTAIN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-308-4067"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Miles Stolle, DO
• David A Stollsteimer, CPO
• Rachell Lee Stolt
• Emily Stolworthy
• Lavonn Ston
• Wendy Lynn Stone-Ortiz, M.S., CCC-SLP
• Alfred Stone
• Allison Mae Stone, MSOTR/L
• Amanda Stone
• Casey Stone

• Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.