Organization Active NPI

Evolution Mental Health Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1972049013
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOLUTION MENTAL HEALTH INC
Practice address
3652 N Rancho Dr Ste 102
Las Vegas, NV 89130-3178
Phone
(702) 917-7898
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
David Tran
Title
Director
Phone
(702) 917-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3652 N Rancho Dr Ste 102
Las Vegas, NV 89130-3178

Mailing address

3652 N Rancho Dr Ste 102
Las Vegas, NV 89130-3178

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1972049013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 N RANCHO DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 N RANCHO DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303178",
            "telephone_number": "702-917-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-917-7898"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 12, 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.