MARK J. COLLINS, D.O., P.C. (NPI# 1134376288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134376288 |
| Entity Type | Organization |
| Organization Name | MARK J. COLLINS, D.O., P.C. |
| Other Organization Name | THE COLLINS CLINIC |
| Practice Address |
6000 W Rochelle Ave Suite 1500 Las Vegas NV 89103-3376 |
| Practice Telephone | 7022212177 |
| Practice Fax Number | 7022212187 |
| Mailing Telephone | 7022212177 |
| Mailing Fax Number | 7022212187 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | DR. MARK J COLLINS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7022212177 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NV | Allopathic & Osteopathic Physicians | |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NV | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| THE COLLINS CLINIC | Doing Business As Name - Organization |
| Street Address |
6000 W ROCHELLE AVE SUITE 1500 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108473 | William Cornelius Bauer | Psychiatry & Neurology | 6000 W Rochelle Ave, Suite 600, Las Vegas, NV 89103-3376 | 2006-03-17 |
| 1033392956 | William C Bauer Md Ltd | Psychiatry & Neurology | 6000 W Rochelle Ave, Suite 600, Las Vegas, NV 89103-3376 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
| 1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
| 1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
| 1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
| 1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
| 1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
| 1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
| 1134759988 | Emmanuel Nwapa Md Pllc | Psychiatry & Neurology | 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146-0361 | 2020-01-21 |
| 1053880856 | Stark Medicine Mckay Khurana Jeider Pllc | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2018-11-21 |
| 1346609203 | Bergdale & Hall, LLC | Psychiatry & Neurology | 6879 W Charleston Blvd, Suite A, Las Vegas, NV 89117-1672 | 2016-02-19 |
| Find all providers in LAS VEGAS | ||||
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| 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.