NPIMap

Organization Active NPI

Alagacare,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1982156410
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALAGACARE,LLC
Practice address
3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633
Phone
(702) 478-5541
Fax
(702) 915-7664
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Olusoga Oladipo Alaga
Title
Executive Manager
Phone
(702) 478-5541

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 20121010903 NV
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 20121010903 NV
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633

Mailing address

3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633
Phone (702) 478-5541

Other identifiers 1

IdentifierTypeStateIssuer
1558736181MedicaidNV

Other names 1

  • Vegas Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alagacarellc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3920 W Charleston Blvd
Ste O
Las Vegas, NV 89102
Phone (702) 478-5541

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1982156410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W CHARLESTON BLVD STE O",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021633",
            "telephone_number": "702-478-5541",
            "fax_number": "702-915-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W CHARLESTON BLVD STE O",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021633",
            "telephone_number": "702-478-5541",
            "fax_number": "702-915-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAGACARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "ALAGA",
        "authorized_official_first_name": "OLUSOGA",
        "authorized_official_middle_name": "OLADIPO",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "702-478-5541"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "20121010903",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NV",
            "license": "20121010903",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558736181",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2019; 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.