Active NPI
Expertise Behavioral Health LLP
- Cognitive & Behavioral Psychologist
- Las Vegas, NV
National Provider Identifier
1962078949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ICANOTES | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Expertise Billing Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1992394605
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
- Exodus Family & Guidance Coalition, LLC
- Exodus Family Guidance and Wellness, PLLC
- Haley Exon
- Experience Courage Therapy and Consulting Dba Las Vegas Play Therapy
- Expert Physicians LLC
- Expertise Billing Service LLP
- Expertise Wellness Center LLC
- Jorge Luis Exposito Alvarez
- Express Excellence Care LLC
- Express Home Care LLC
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.