Divine Family Assistance of Nevada

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

DIVINE FAMILY ASSISTANCE OF NEVADA

Practice address

9021 Victor Creek Ave
Las Vegas, NV 89149-3274

Phone

(702) 348-7653

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Valesia Cook

Title

Executive Director

Phone

(702) 348-7653

Specialties & licenses 1

Addresses

Other names 1

• DFAN BEHAVIORAL HEALTH Doing business as

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1972833721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 VICTOR CREEK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493274",
            "telephone_number": "702-348-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 VICTOR CREEK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493274",
            "telephone_number": "702-348-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAMILY ASSISTANCE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "VALESIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-348-7653"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFAN BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Divich
• Kristen Jewell Eileen Divich
• Divine Care Services of Nevada
• Divine Careline Health LLC
• Divine Exxpectations Comfort Homes
• Divine Health and Wellness Corp
• Divine Health Products
• Divine Healthcare Solutions LLC
• Divine Hospice LLC
• Divine Instructions Behavioral Health Services, LLC

• Cognitive & Behavioral Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Cognitive & Behavioral Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.