Desert Parkway Behavioral Healthcare Hospital, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC

Practice address

3247 S Maryland Pkwy
Las Vegas, NV 89109-2412

Phone

(702) 776-3500

Fax

(702) 776-3511

NPI assigned

Jul 8, 2013

Last updated

Aug 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Sanders

Title

SVP/ General Counsel

Phone

(248) 905-5091

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871934877. Details of each certification follow.

• CCN 294013 Hospital · Active · Details

Hospital certification: CCN 294013

Legal name

DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL LLC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Feb 28, 2014

Last certification

Sep 23, 2022

Beds

152

Ownership / control type

Private (not for profit)

Organization structure

LLCProprietary

Incorporated

Mar 28, 2012 in NV

Enrollment address

3247 S Maryland Pkwy
Las Vegas, NV 89109-2412
Main/Primary Hospital Location

Hospital subgroups

Psychiatric unit

Listed as

Desert Parkway Behavioral Healthcare Hospital, LLCCCN 294013 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 5

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.

• Deepa Hasija, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1801107040
  NPD (past)
• Donald Hugh Mayes, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1750509329
  NPD (past)
• Eugene Rosenman, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1659433787
  NPD (past)
• Amitabh Singh, MD

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1013986116
  NPD (past)
• Gargi R. Trivedi, MD

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1528289360
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1871934877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092412",
            "telephone_number": "702-776-3500",
            "fax_number": "702-776-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092412",
            "telephone_number": "702-776-3500",
            "fax_number": "702-776-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SVP/ GENERAL COUNSEL",
        "authorized_official_telephone_number": "248-905-5091"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871934877",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Neuromonitoring Group, LLC
• Desert Orthopaedic Billing LLC
• Desert Orthopaedic Center, LTD.
• Desert Orthopaedic Center, LTD.
• Desert Pain & Wellness Clinic LLC
• Desert Peace Therapy LLC
• Desert Pines Family Health Center
• Desert Primary Care PLLC
• Desert Pulmonary Rehabilitation and Diagnostics LLC
• Desert Pulmonary Rehabilitation and Diagnostics LLC

• Psychiatric Hospital in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric Hospital in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.