LIFESPAN BEHAVIORAL HEALTH NEVADA PC (NPI# 1114547726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114547726 |
| Entity Type | Organization |
| Organization Name | LIFESPAN BEHAVIORAL HEALTH NEVADA PC |
| Practice Address |
2505 Anthem Village Dr Ste E-508 Henderson NV 89052-5505 |
| Practice Telephone | 7025441776 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | CAROLYN REIDY (OFFICE ADMIN) |
| Authorized Official Telephone | 8008197570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2505 ANTHEM VILLAGE DR STE E-508 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760612659 | Watcharasarn Rattananan | Psychiatry & Neurology | 201 S Gibson Rd Apt 1208, Henderson, NV 89012-2660 | 2009-07-25 |
| 1780846303 | Tamer Ammar | Psychiatry & Neurology | 10001 S Eastern Ave Ste 200, Henderson, NV 89052-3908 | 2008-06-25 |
| 1104020700 | Rajani Ruth Caesar | Psychiatry & Neurology | 100 Zeid Blvd Ste B, Henderson, TX 75652-6069 | 2007-06-14 |
| 1124239116 | Romina Shirka | Psychiatry & Neurology | 824 Loch Katrine Ave, Henderson, NV 89012-5732 | 2007-05-24 |
| 1225101330 | Innotiv Germin | Psychiatry & Neurology | 1691 W Horizon Ridge Pkwy, #100, Henderson, NV 89012-3494 | 2006-11-16 |
| 1013928886 | Leo R Germin | Psychiatry & Neurology | 1691 West Horizon Ridge Parkway, Henderson, NV 89012-3494 | 2006-08-10 |
| 1912951252 | Munther S Tabet Md Pa | Psychiatry & Neurology | 120 Charles Rollins Road, Suite 101, Henderson, NC 27536 | 2006-05-20 |
| 1396708434 | Munther S. Tabet | Psychiatry & Neurology | 120 Charles Rollins Rd, Suite 101, Henderson, NC 27536 | 2006-04-10 |
| 1861474181 | Santos H Yu | Psychiatry & Neurology | 2430 W Horizon Ridge Pkwy, Henderson, NV 89052-2648 | 2005-11-14 |
| 1790788834 | Michael Scott Mayron | Psychiatry & Neurology | 1998 Barrett Ct Ste A, Henderson, KY 42420-2668 | 2005-05-23 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on LIFESPAN BEHAVIORAL HEALTH NEVADA PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.