BOYS TOWN NEVADA (NPI# 1710364070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710364070 |
| Entity Type | Organization |
| Organization Name | BOYS TOWN NEVADA |
| Practice Address |
2340 Paseo Del Prado #d307 Las Vegas NV 89102-4360 |
| Mailing Address |
821 N Mojave Rd Las Vegas NV 89101-2407 |
| Practice Telephone | 7026427070 |
| Practice Fax Number | 7026493906 |
| Mailing Telephone | 7026427070 |
| Mailing Fax Number | 7026493906 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MR. HOWARD OLSHANSKY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7026427070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1700273737 | 05 | |
| NV | 1013117100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700273737 | Boys Town Nevada | Psychiatry & Neurology | 6935 Aliante Pkwy, Suite 109, Building C, North Las Vegas, NV 89084-5818 | 2015-04-16 |
| Street Address |
2340 PASEO DEL PRADO #D307 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437180478 | Karen Leah Cruey | Psychiatry & Neurology | 2340 Paseo Del Prado, Suite D207, Las Vegas, NV 89102-4360 | 2006-07-06 |
| 1255703948 | Therapeutic Solutions LLC | Community/Behavioral Health | 2340 Paseo Del Prado, Suite D 207, Las Vegas, NV 89102-4360 | 2015-10-21 |
| 1376913038 | Clarity Tms Las Vegas Nevada LLC | Psychiatry & Neurology | 2340 Paseo Del Prado, D307, Las Vegas, NV 89102-4360 | 2015-10-06 |
| 1962829895 | Ivette Serrano | Rehabilitation Practitioner | 2340 Paseo Del Prado, Suite D 108, Las Vegas, NV 89102-4360 | 2014-03-28 |
| 1063751329 | Jeffrey Varkis Baligian | Behavioral Analyst | 2340 Paseo Del Prado, B-d206, Las Vegas, NV 89102-4360 | 2013-02-06 |
| 1821350661 | Kbr, Inc. | In Home Supportive Care | 2340 Paseo Del Prado, Suite D112, Las Vegas, NV 89102-4360 | 2012-06-07 |
| 1821370412 | Consultations and Counseling Associates Inc. | Rehabilitation Practitioner | 2340 Paseo Del Prado, Suite D-301, Las Vegas, NV 89102-4342 | 2011-09-09 |
| 1083919328 | Diversified Coalition LLC | Counselor | 2340 Paseo Del Prado, Building D Suite 206, Las Vegas, NV 89102-4360 | 2011-01-18 |
| 1801043229 | Norton A Roitman | Psychiatry & Neurology | 2340 Paseo Del Prado, Suite D 307, Las Vegas, NV 89102 | 2008-08-27 |
| 1497921605 | Ayele E Amavigan | Counselor | 2340 Paseo Del Prado, B-d 206, Las Vegas, NV 89102-4360 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933067 | Michelle Rocha | Social Worker | 5912 Kit Cove Ct, Las Vegas, NV 89131-2088 | 2020-08-21 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1376161315 | Depth Psychological Services | Social Worker | 10616 Zingali Ct, Las Vegas, NV 89141-4251 | 2020-07-07 |
| 1659993475 | Judith Rosen | Social Worker | 220 E Flamingo Rd Unit 423, Las Vegas, NV 89169-0306 | 2020-05-14 |
| 1912529066 | Stacy Ilene Benham | Social Worker | 2601 S Grand Canyon Dr Apt 2003, Las Vegas, NV 89117-3671 | 2020-05-12 |
| 1851912539 | Angelique Charity Murguia | Social Worker | 7928 Rushmore Ave, Las Vegas, NV 89131-1552 | 2020-05-04 |
| 1639703598 | Lauren Fousek | Social Worker | 610 S Rancho Drive, #a10, Las Vegas, NV 89106-8910 | 2020-02-28 |
| 1780217679 | 58 10 Behavioral Health Services Pllc | Social Worker | 1810 E Sahara Ave Ste 212 373, Las Vegas, NV 89104-3707 | 2020-02-19 |
| 1801428602 | Chasstiry Vazquez | Social Worker | 2215 Renaissance Dr Ste C, Las Vegas, NV 89119-6729 | 2020-02-10 |
| 1437707486 | Charlene Miranda Paule | Social Worker | 2340 Paseo Del Prado Ste D110, Las Vegas, NV 89102-4340 | 2019-09-03 |
| 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.