NPIMap

Organization Active NPI

Autism and Brain Institute Inc

Doing business as AAC Speech Clinic

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1891455309
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AUTISM AND BRAIN INSTITUTE INC
Doing business as
AAC Speech Clinic
Practice address
9480 S Eastern Ave Ste 273
Las Vegas, NV 89123-8000
Phone
(702) 463-5460
Fax
(888) 316-4826
NPI assigned
Dec 23, 2021
Last updated
Jul 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Authorized official

Name
Mrs. Katherine Hanta Wallisch, M.S. CCC-SLPNPI 1780185645
Title
Ceo
Phone
(702) 355-9862

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Augmentative Communication Clinic/Center 261QA3000X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Audiologist 231H00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

9480 S Eastern Ave Ste 273
Las Vegas, NV 89123-8000

Mailing address

10300 W Charleston Blvd Ste 549
Las Vegas, NV 89135-1037
Phone (702) 463-5460

Other practice location 1

343 Elm St Ste 304
Reno, NV 89503-4522
Phone (775) 235-4320

Other practice location 2

1775 Village Center Cir Ste 190
Las Vegas, NV 89134-0571
Phone (702) 463-5460

Other names 1

  • AAC Speech Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@aacspeechclinic.com

National Provider Directory

National Provider Directory

Locations

10300 W Charleston Blvd
Ste 549
Las Vegas, NV 89135

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1891455309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD STE 549",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-463-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 273",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238000",
            "telephone_number": "702-463-5460",
            "fax_number": "888-316-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Elm St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034522",
            "country_code": "US",
            "telephone_number": "775-235-4320",
            "fax_number": "775-260-1724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Village Center Cir Ste 190",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340571",
            "country_code": "US",
            "telephone_number": "702-463-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM AND BRAIN INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "WALLISCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "HANTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-355-9862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aacspeechclinic.com",
            "affiliation": "N",
            "address_1": "9480 S Eastern Ave Ste 273",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891238000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AAC Speech Clinic",
            "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 23, 2022; 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.