Creative Minds Behavioral Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CREATIVE MINDS BEHAVIORAL HEALTH

Practice address

1809 Luna Alegre St
Las Vegas, NV 89115-7368

Phone

(702) 201-8105

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Prenise April ReidNPI 1487187985

Title

Owner

Phone

(702) 201-8105

Specialties & licenses 1

Addresses

Practitioners 3

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

• Prenise April Reid

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1487187985
  NPD (past) Authorized official
• Meranda Ramos

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1770008047
  NPD (past)
• Brandie La'Nea Shamburger

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1588188361
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1902330780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 LUNA ALEGRE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891157368",
            "telephone_number": "702-201-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LUNA ALEGRE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891157368",
            "telephone_number": "702-201-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MINDS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PRENISE",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-201-8105"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Collaboration
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• Creative Learning Therapies
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• Creative Remedy Family Services
• Creative Solutions for Positive Youth Development
• Jason Crecco, PHARMD
• Credo Pharmacy LLC

• Mental Illness Community Based Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.