CENTER FOR BEHAVIORAL HEALTH LAS VEGAS, INC. (NPI# 1972686210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972686210 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BEHAVIORAL HEALTH LAS VEGAS, INC. |
| Practice Address |
160 Hubbard Way Suite A Reno NV 89502-3709 |
| Mailing Address |
Po Box 897 Boise ID 83701-0897 |
| Practice Telephone | 7758294472 |
| Practice Fax Number | 7758294467 |
| Mailing Telephone | 7758294472 |
| Mailing Fax Number | 7758294467 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | MR. BRANT MASSMAN (OWNER) |
| Authorized Official Telephone | 7758294472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
2961NTC8 | NV | Ambulatory Health Care Facilities |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 001716050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044287 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 160 Hubbard Way Ste A, Reno, NV 89502-3780 | 2017-03-20 |
| 1427599737 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave Ste 400, North Las Vegas, NV 89032-8244 | 2017-03-20 |
| 1548602022 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 2290 Mcdaniel St Ste 1c, North Las Vegas, NV 89030-6330 | 2013-07-24 |
| 1215235213 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3050 E Desert Inn Rd Ste 116, Las Vegas, NV 89121-3872 | 2011-03-01 |
| 1508068271 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave, Suite 400, Las Vegas, NV 89032-8244 | 2007-06-04 |
| 1992246201 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3050 E Desert Inn Rd, Suite 116, Las Vegas, NV 89121-3870 | 2017-03-20 |
| 1619418928 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 2290 Mcdaniel St Ste 1c, North Las Vegas, NV 89030-6329 | 2017-03-20 |
| Street Address |
160 HUBBARD WAY SUITE A |
| City | RENO |
| State | NV |
| Zip Code | 89502-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689101495 | Gabrielle Alexis Taylor | Behavioral Analyst | 160 Hubbard Way, Ste E, Reno, NV 89502-3785 | 2017-05-11 |
| 1750838934 | Katherine Jenae Francom | Behavioral Analyst | 160 Hubbard Way, Ste E, Reno, NV 89502-3785 | 2016-09-06 |
| 1821544768 | Antione Marquis Swinton | Behavioral Analyst | 160 Hubbard Way, E, Reno, NV 89502-3785 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044287 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 160 Hubbard Way Ste A, Reno, NV 89502-3780 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653595 | A New Mind Health Services Inc | Clinic/Center | 320 N Nellis Blvd Ste 6, Las Vegas, NV 89110-5390 | 2018-09-18 |
| 1427599737 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave Ste 400, North Las Vegas, NV 89032-8244 | 2017-03-20 |
| 1538552815 | Nganha Cheung | Clinic/Center | 8455 S. Eastern Avenue, Las Vegas, NV 89183 | 2015-03-11 |
| 1548602022 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 2290 Mcdaniel St Ste 1c, North Las Vegas, NV 89030-6330 | 2013-07-24 |
| 1215235213 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3050 E Desert Inn Rd Ste 116, Las Vegas, NV 89121-3872 | 2011-03-01 |
| 1265763890 | Desert Treatment Clinic LLC | Clinic/Center | 1546 W Warm Springs Rd Ste 130, Henderson, NV 89014-4326 | 2010-01-21 |
| 1063617736 | Vegas Valley Treatment Center | Clinic/Center | 1325 S Commerce St, Las Vegas, NV 89102-2530 | 2007-06-20 |
| 1508068271 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave, Suite 400, Las Vegas, NV 89032-8244 | 2007-06-04 |
| 1043352917 | Drug Treatment Systems, Inc. | Clinic/Center | 704 W Sunset Rd Ste B9, Henderson, NV 89015-2616 | 2007-02-13 |
| 1407994569 | Drug Treatment Systems, Inc. | Clinic/Center | 1800 Industrial Rd Ste 208, Las Vegas, NV 89102-2686 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
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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.