Organization Active NPI

Intervention Wellness Services LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1912895269
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
INTERVENTION WELLNESS SERVICES LLC
Practice address
10842 Hammett Park Ave
Las Vegas, NV 89166-6046
Phone
(702) 591-3055
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Tami Vernette Bass
Title
Compliance
Phone
(702) 591-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

10842 Hammett Park Ave
Las Vegas, NV 89166-6046

Mailing address

10842 Hammett Park Ave
Las Vegas, NV 89166-6046
Phone (702) 591-3055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1912895269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 HAMMETT PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666046",
            "telephone_number": "702-591-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 HAMMETT PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666046",
            "telephone_number": "702-591-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "VERNETTE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "702-591-3055"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "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 Jun 25, 2025; 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.