BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION (NPI# 1295288553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295288553 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION |
| Other Organization Name | UNLV ACKERMAN CENTER FOR AUTISM AND NEURODEVELOMENT SOLUTIONS |
| Practice Address |
630 S. Rancho, Ste. A Las Vegas NV 89106 |
| Practice Telephone | 7029989505 |
| Mailing Telephone | 7029989505 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | TRACEY GREEN (VICE DEAN OF CLINICAL AFFAIRS) |
| Authorized Official Telephone | 7029989505 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UNLV Ackerman Center for Autism and Neurodeveloment Solutions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073078945 | Board of Regents Nevada System of Higher Education | Clinic/Center | 1664 N Virginia St # Ms 0285, Reno, NV 89557-0001 | 2019-02-05 |
| 1013295294 | Board of Regents Nevada System of Higher Education | Clinic/Center | 745 W. Moana Lane, Suite 100, Reno, NV 89509 | 2011-07-22 |
| 1609944735 | Board of Regents Nevada System of Higher Education | Clinical Medical Laboratory | 1660 N Virginia St, Reno, NV 89503-0703 | 2006-11-30 |
| 1881678977 | Board of Regents Nevada System of Higher Education | Audiologist | 1664 N Virginia Redfield Medical Bldg, Mail Stop 152, Reno, NV 89557-0152 | 2005-12-01 |
| 1841578028 | Board of Regents Nevada System of Higher Education | Clinic/Center | 4000 E. Charleston Blvd., Suite 230, Las Vegas, NV 89104 | 2011-07-22 |
| 1518169200 | Board of Regents Nevada System of Higher Education | Local Education Agency (LEA) | 6375 W Charleston Blvd Ste A500, Las Vegas, NV 89146-1168 | 2007-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION | 2215 Raggio Pkwy, Reno, NV 89512 |
| Colorado Business Entities | Board of Regents Nevada System of Higher Education, DBA Desert Research Institute | 2215 Raggio Parkway, Reno, NV 89512-1095 |
| Street Address |
630 S. RANCHO, STE. A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770132466 | Justan Degeneffe | Pediatrics | 7676 Silver Baron Rd, Las Vegas, NV 89179-2070 | 2019-09-05 |
| 1265854731 | University of Nevada School of Medicine Multispecialty Group Practice | Pediatrics | 4505 S. Maryland Prkway, Room 226, Unlv College of Education, Carlson Education Building, Las Vegas, NV 89154-3001 | 2014-01-17 |
| 1275546590 | Mario J. Gaspar De Alba | Pediatrics | 630 S Rancho Dr Ste A, Las Vegas, NV 89106-4849 | 2006-08-15 |
Please comment or provide details below to improve the information on BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION.
| 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.