NPIMap

Organization Active NPI

State of Nevada

Doing business as Lake Tahoe Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stateline, NV
National Provider Identifier
1992887822
Registry record updated Oct 10, 2007
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
STATE OF NEVADA
Doing business as
Lake Tahoe Mental Health Center
Practice address
175 W US Highway 50
Stateline, NV 89779
Phone
(775) 687-3671
Fax
(775) 687-6639
NPI assigned
Oct 19, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mr. Ray C Kendall, LCSW
Title
Agency Director
Phone
(775) 687-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

175 W US Highway 50
Stateline, NV 89779

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2013
Phone (776) 687-7573

Other names 1

  • LAKE TAHOE MENTAL HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elko Mental Health Cent125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1992887822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062013",
            "telephone_number": "776-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W US HIGHWAY 50",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "89779",
            "telephone_number": "775-687-3671",
            "fax_number": "775-687-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "775-687-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE TAHOE MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stateline, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.