Organization Active NPI

Expertise Behavioral Health LLP

  • Cognitive & Behavioral Psychologist
  • Las Vegas, NV
National Provider Identifier
1962078949
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
EXPERTISE BEHAVIORAL HEALTH LLP
Practice address
3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067
Phone
(725) 204-7591
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Carmen Z Colon, CREDENTIALING
Title
Agent
Phone
(725) 977-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067

Mailing address

3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067
Phone (725) 977-4347

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANOTES Direct

National Provider Directory

National Provider Directory
Tax ID family
Expertise Billing Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1962078949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 311",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "725-977-4347",
            "fax_number": "725-499-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 311",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "725-204-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERTISE BEHAVIORAL HEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "725-977-4347",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ICANOTES",
            "affiliation": "N",
            "endpointDescription": "ICANOTE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3430 E Flamingo Rd Ste 311",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 1, 2024; 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.