NPIMap

Organization Active NPI

Spirit of David Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • N Las Vegas, NV
National Provider Identifier
1922548460
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SPIRIT OF DAVID BEHAVIORAL HEALTH
Practice address
2113 Sun Ave Apt B
N Las Vegas, NV 89030-8176
Phone
(702) 957-8550
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Lavell WorthyNPI 1811437353
Title
Manager
Phone
(702) 957-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2113 Sun Ave Apt B
N Las Vegas, NV 89030-8176

Mailing address

2113 Sun Ave Apt B
N Las Vegas, NV 89030-8176
Phone (702) 957-8550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1922548460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 SUN AVE APT B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890308176",
            "telephone_number": "702-957-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 SUN AVE APT B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890308176",
            "telephone_number": "702-957-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF DAVID BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "LAVELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-957-8550"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.