NPIMap

Organization Active NPI

Renaissance Mental Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1881295848
Registry record updated Nov 5, 2020
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
RENAISSANCE MENTAL HEALTH CORPORATION
Practice address
3663 E Sunset Rd Ste 201C
Las Vegas, NV 89120-3246
Phone
(702) 930-5958
Fax
(702) 920-8475
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. Gwendolyn T Greene, DBHNPI 1609233329
Title
Owner/Managing Member
Phone
(702) 930-5958

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 1

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

Addresses

Primary practice location

3663 E Sunset Rd Ste 201C
Las Vegas, NV 89120-3246

Mailing address

3663 E Sunset Rd Ste 201C
Las Vegas, NV 89120-3246
Phone (702) 930-5958

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1881295848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 201C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-930-5958",
            "fax_number": "702-920-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 201C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-930-5958",
            "fax_number": "702-920-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MENTAL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-930-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 5, 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.