DIAGNOSTICARE, INC


Address: 3923 Shetland Pony St, Las Vegas, NV 89122-3456
Phone: 7028076844

DIAGNOSTICARE, INC (NPI# 1164607503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164607503
Entity Type Organization
Organization Name DIAGNOSTICARE, INC
Practice Address 3923 Shetland Pony St
Las Vegas
NV 89122-3456
Practice Telephone 7028076844
Practice Fax Number 7024072446
Mailing Telephone 7028076844
Mailing Fax Number 7024072446
Enumeration Date 2008-01-03
Last Update Date 2008-01-03
Authorized Official Name MR. DANA CRUMP BROWN (COUNSELOR)
Authorized Official Telephone 7028076844
Authorized Official Credential MS, CADC INTERN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor NV Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
NV Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator NV Other Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0981-I NV Behavioral Health & Social Service Providers

Office Location

Street Address 3923 SHETLAND PONY ST
City LAS VEGAS
State NV
Zip Code 89122-3456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790188134 Maria Christie Brown Contractor 3923 Shetland Pony St, Las Vegas, NV 89122-3456 2014-09-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902425523 Dezirae Wilson Technician 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 2020-04-14
1407312366 More Than Words LLC Speech-Language Pathologist 3430 Blue Ash Lane, Las Vegas, NV 89122 2019-02-15
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1780100511 Easy Living Behavioral Health LLC Community Based Residential Treatment Facility, Mental Illness 5069 Sun Valley Dr, Las Vegas, NV 89122 2017-08-14
1508381435 Louie Taquiqui Community/Behavioral Health 3566 Tundra Swan St, Las Vegas, NE 89122 2017-08-11
1972032233 Marilan Sanchez Rehabilitation Practitioner 5210 Emelita St, Las Vegas, NV 89122 2017-06-08
1023479599 Tia Collins Social Worker 5412 Boulder Highway, Las Vegas, NV 89122 2016-03-11
1548673056 Saba Chatoor Counselor 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 2014-06-03
1811328685 Derrell Williams Counselor 3326 Wasatch Cedars St., Las Vegas, NV 89122 2013-12-04
1225466709 The Lighthouse LLC Community/Behavioral Health 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 2013-10-22
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1811532781 Melanie Fedraw Counselor 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 2019-11-14
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Competitor

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City LAS VEGAS
Zip Code 89122

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Dataset Information

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.

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