Active NPI
M.I.a. Pathways LTD
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1922500552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20181145226
- Legal business name
- M.I.A. PATHWAYS LTD
- Practice address
- 848 N Rainbow Blvd # 2012
Las Vegas, NV 89107-1103 - Phone
- (702) 805-9977
- NPI assigned
- Feb 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Williams
- Title
- Owner
- Phone
- (210) 683-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV20181145226 | Primary |
Addresses
Primary practice location
848 N Rainbow Blvd # 2012
Las Vegas, NV 89107-1103
Mailing address
848 N Rainbow Blvd # 2012
Las Vegas, NV 89107-1103
Phone (702) 805-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV0001 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519776000000",
"number": "1922500552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD # 2012",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "702-805-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD # 2012",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "702-805-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.I.A. PATHWAYS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-683-9747"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": "NV20181145226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NV0001",
"state": "NV"
}
],
"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 Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.