Amatista

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMATISTA

Practice address

5398 Nickel Creek TRL
Las Vegas, NV 89122-8317

Phone

(702) 812-4189

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

William Gallego

Title

Owner

Phone

(702) 812-4189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1972377232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 NICKEL CREEK TRL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228317",
            "telephone_number": "702-812-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 NICKEL CREEK TRL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228317",
            "telephone_number": "702-812-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMATISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-812-4189"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Amaro, LMT
• Tashira Irene Amaro
• Amarsi Med PLLC
• Zubin Amarsi, MD
• Alyssa Marie Amata
• Gabrielle Amato, RBT
• Rosa Amatong
• Ayele E Amavigan, ED.D, MSW, LCSW
• Nheri Balentina Amaya Moya
• Victor Amaya Salinas

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.