NPIMap

Organization Active NPI

Academics & Athletics Connection/Lvstars, Inc.

Doing business as Academics and Athletics Connection Behavioral Health Program

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1902230089
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACADEMICS & ATHLETICS CONNECTION/LVSTARS, INC.
Doing business as
Academics and Athletics Connection Behavioral Health Program
Practice address
1324 Robin St
Las Vegas, NV 89106-1951
Phone
(702) 834-0794
NPI assigned
Aug 26, 2013
Last updated
Aug 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADEMICS AND ATHLETICS CONNECTIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Mr. Thomas McTyerNPI 1093016727
Title
Director
Phone
(702) 834-0794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1324 Robin St
Las Vegas, NV 89106-1951

Mailing address

1324 Robin St
Las Vegas, NV 89106-1951

Other identifiers 1

IdentifierTypeStateIssuer
1093016727MedicaidNV

Other names 1

  • Academics and Athletics Connection Behavioral Health Program Doing business as

National Provider Directory

National Provider Directory
Part of
Academics Athletics Connectionlvstars Inc

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1902230089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 ROBIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 ROBIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061951",
            "telephone_number": "702-834-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMICS & ATHLETICS CONNECTION/LVSTARS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADEMICS AND ATHLETICS CONNECTION",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MCTYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-834-0794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093016727",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academics and Athletics Connection Behavioral Health Program",
            "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 Aug 26, 2013; 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.