NPIMap

Organization Active NPI

Southern Nevada Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1891756920
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOUTHERN NEVADA ADULT MENTAL HEALTH
Practice address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone
(702) 486-6000
Fax
(702) 486-8077
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Margaret Moe
Title
Rates & Cost Containment Manager
Phone
(775) 684-5990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Psychiatric Hospital 283Q00000X
Clinic Pharmacy 3336C0002X PH02110 NV

Addresses

Primary practice location

6161 W Charleston Blvd
Las Vegas, NV 89146-1126

Mailing address

4150 Technology Way
Ste:300
Carson City, NV 89706-2026
Phone (775) 684-4051

Other identifiers 1

IdentifierTypeStateIssuer
2052189OtherPK

Other names 1

  • SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000160 NV Part B Supplier - Clinic/Group Practice 9234022153 Receives reassigned benefits from 146 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yerington, NV; Winnemucca, NV; Tonopah, NV; Sparks, NV; Silver Springs, NV; Pahrump, NV; Mesquite, NV; Lovelock, NV…
O20100816001116 NV Part A Provider - Hospital 9234022153 Practice locations: Las Vegas, NV

Hospital certification: CCN 294002

Legal name
STATE OF NEVADA
Doing business as
SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 1, 1972
Last certification
Aug 20, 2020
Beds
293
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Southern Nevada Adult Mental Health ServicesCCN 294002
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Alan Sweet Individual W-2 Managing EmployeeFinance Manager Dec 1, 2013 17%
Paul Ripple Individual Corporate Director May 1, 2010
W-2 Managing Employee May 1, 2010
State of Nevada Organization, Carson City, NV 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Nevada Adult Mental Health ServicesSparks, NV, CCN 294000 Hospital Other May 6, 2013
Southern Nevada State Veterans Home - Boulder CityBoulder City, NV, CCN 295081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 24, 2002
Sep 24, 2002
Sep 24, 2002
Northern Nevada State Veterans HomeSparks, NV, CCN 295105 Skilled nursing facility Adp of the SNF Feb 15, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1891756920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 TECHNOLOGY WAY",
            "address_2": "STE:300",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062026",
            "telephone_number": "775-684-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-6000",
            "fax_number": "702-486-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA ADULT MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "RATES & COST CONTAINMENT MANAGER",
        "authorized_official_telephone_number": "775-684-5990"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NV",
            "license": "PH02110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.