Active NPI
Clever Alliance LLC
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1952913790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CLEVER ALLIANCE LLC
- Practice address
- 916 W Owens Ave
Las Vegas, NV 89106-2516 - Phone
- (702) 625-1492
- NPI assigned
- Aug 22, 2020
- 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
- Carmen Lazo
- Title
- Member
- Phone
- (702) 727-9065
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
916 W Owens Ave
Las Vegas, NV 89106-2516
Mailing address
4616 W Sahara Ave Ste 481
Las Vegas, NV 89102-3654
Phone (702) 625-1492
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952913790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W SAHARA AVE STE 481",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891023654",
"telephone_number": "702-625-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W OWENS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062516",
"telephone_number": "702-625-1492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVER ALLIANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-22",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAZO",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "702-727-9065"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.