| Cleveland Clinic Lou Ruvo Center For Brain Health | |
|
888 W Bonneville Ave Las Vegas NV 89106-0100 | |
| (702) 263-9797 | |
| Not Available |
| Full Name | Cleveland Clinic Lou Ruvo Center For Brain Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 888 W Bonneville Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Timothy L. Longville (CHIEF ACCT. OFFICER AND CONTROLLER) |
| Authorized Official Contact | 2166367416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Clinic Lou Ruvo Center For Brain Health 6000 W Creek Rd Suite 10 Independence OH 44131-2182 Ph: (800) 223-2273 | Cleveland Clinic Lou Ruvo Center For Brain Health 888 W Bonneville Ave Las Vegas NV 89106-0100 Ph: (702) 263-9797 |
| NPI Number | 1538302377 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 9537219431 |
|---|---|
| Medicare Enrollment ID | O20090616000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538302377 | NPI | - | NPPES |
| Provider Name | Charles Benjamin Bernick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083692743 PECOS PAC ID: 8022043074 Enrollment ID: I20050928001388 |
| Provider Name | Scott A Slavis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700879053 PECOS PAC ID: 8729128624 Enrollment ID: I20100215000057 |
| Provider Name | Jay K Costantini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225070352 PECOS PAC ID: 0345148235 Enrollment ID: I20100222000807 |
| Provider Name | Dylan P Wint |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922057116 PECOS PAC ID: 3274585633 Enrollment ID: I20100520000710 |
| Provider Name | Guiyun Wu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1467400077 PECOS PAC ID: 6709785611 Enrollment ID: I20100604000308 |
| Provider Name | Jennifer M Nash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467782771 PECOS PAC ID: 5193849552 Enrollment ID: I20100908000200 |
| Provider Name | Jeffrey L Cummings |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457376329 PECOS PAC ID: 0042491672 Enrollment ID: I20110302000064 |
| Provider Name | Moiz T Vohra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801001037 PECOS PAC ID: 3072663368 Enrollment ID: I20110725000667 |
| Provider Name | Sarah J Banks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164701132 PECOS PAC ID: 8527231612 Enrollment ID: I20111107000233 |
| Provider Name | Christine M Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639482102 PECOS PAC ID: 6901056415 Enrollment ID: I20121018000326 |
| Provider Name | Samantha A Fikru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609117555 PECOS PAC ID: 1759528417 Enrollment ID: I20130516000531 |
| Provider Name | Le H Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215197892 PECOS PAC ID: 0749431427 Enrollment ID: I20130730000778 |
| Provider Name | Justin Benjamin Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003162314 PECOS PAC ID: 9638304157 Enrollment ID: I20131108000298 |
| Provider Name | Jayram Krishnan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245216605 PECOS PAC ID: 9335373471 Enrollment ID: I20140701001318 |
| Provider Name | Carrie M Hersh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942443072 PECOS PAC ID: 9335453224 Enrollment ID: I20150805009680 |
| Provider Name | Maileen G Ulep-reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114398138 PECOS PAC ID: 0345540845 Enrollment ID: I20151207001227 |
| Provider Name | Shaina E Meyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609269893 PECOS PAC ID: 9133420409 Enrollment ID: I20151211000483 |
| Provider Name | Jessica Z Kirkland Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336450857 PECOS PAC ID: 2062648645 Enrollment ID: I20160315001587 |
| Provider Name | Aaron Ritter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154633808 PECOS PAC ID: 1850693870 Enrollment ID: I20160620000813 |
| Provider Name | Priscilla Flores |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427503853 PECOS PAC ID: 6709174048 Enrollment ID: I20161019001513 |
| Provider Name | Zoltan Mari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366480048 PECOS PAC ID: 6002811221 Enrollment ID: I20170512002236 |
| Provider Name | Simrit K Saraon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215460100 PECOS PAC ID: 6103193487 Enrollment ID: I20170517002835 |
| Provider Name | Jenny Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629583638 PECOS PAC ID: 2264791078 Enrollment ID: I20180123002476 |
| Provider Name | Marwan N Sabbagh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748289 PECOS PAC ID: 3678567211 Enrollment ID: I20180328002625 |
| Provider Name | Christopher Karakasis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538321880 PECOS PAC ID: 9739403346 Enrollment ID: I20181012001907 |
| Provider Name | Leah L Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679720197 PECOS PAC ID: 3577739267 Enrollment ID: I20181019002296 |
| Provider Name | Dina Alzadon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962982728 PECOS PAC ID: 9032458492 Enrollment ID: I20190228002691 |
| Provider Name | Odinachi Oguh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376744870 PECOS PAC ID: 0840446191 Enrollment ID: I20190802001653 |
| Provider Name | Lucille Carriere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285006932 PECOS PAC ID: 3476885906 Enrollment ID: I20191101000636 |
| Provider Name | Christina G Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710443163 PECOS PAC ID: 4789016072 Enrollment ID: I20191106002771 |
| Provider Name | Ida Crocker Sabbagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396808432 PECOS PAC ID: 7113829102 Enrollment ID: I20200529000674 |
| Provider Name | Erin Zdenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497383020 PECOS PAC ID: 9830502442 Enrollment ID: I20201228001802 |
| Provider Name | Jessica Grocott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265028021 PECOS PAC ID: 7315351871 Enrollment ID: I20210126000125 |
| Provider Name | Sherry Perucho |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821618612 PECOS PAC ID: 9234544743 Enrollment ID: I20210216000734 |
| Provider Name | Emmanuel Obusez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467712125 PECOS PAC ID: 1355628934 Enrollment ID: I20210513003084 |
| Provider Name | Michael Gevertzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548824055 PECOS PAC ID: 2860899879 Enrollment ID: I20210917001296 |
| Provider Name | Shehroo Behram Pudumjee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164096038 PECOS PAC ID: 5395143127 Enrollment ID: I20211008002200 |
| Provider Name | Justina Selim |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265101133 PECOS PAC ID: 3072902139 Enrollment ID: I20211110001761 |
| Provider Name | Kelly Winkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104375690 PECOS PAC ID: 1153600309 Enrollment ID: I20211111001629 |
| Provider Name | Candi Nicole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154920593 PECOS PAC ID: 3476949744 Enrollment ID: I20220413002464 |
| Provider Name | David Mihal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538412812 PECOS PAC ID: 3971745027 Enrollment ID: I20220511001760 |
| Provider Name | Joseph Veniero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588629562 PECOS PAC ID: 7214822782 Enrollment ID: I20220513000534 |
| Provider Name | Angela Helena Cesena |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679125710 PECOS PAC ID: 5092189571 Enrollment ID: I20230323002793 |
| Provider Name | Kristen West |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1982007811 PECOS PAC ID: 7315312386 Enrollment ID: I20230404001944 |
| Provider Name | Kameron Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326701822 PECOS PAC ID: 6103270178 Enrollment ID: I20230925001905 |
| Provider Name | Kyle Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609010677 PECOS PAC ID: 2466699160 Enrollment ID: I20231122002960 |
| Provider Name | Kayla Kotake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154008217 PECOS PAC ID: 9931547353 Enrollment ID: I20240404001952 |
| Provider Name | Adam Sweeney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407149768 PECOS PAC ID: 3577832062 Enrollment ID: I20240516001713 |
| Provider Name | Clifford Belden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285619858 PECOS PAC ID: 6507804416 Enrollment ID: I20240517001380 |
Cc Youth Empowerment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8070 W Russell Rd, Apt 1065, Las Vegas, NV 89113 Phone: 702-610-4153 | |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Lovelife Family Services L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120 Phone: 702-754-3484 Fax: 702-629-7952 | |
Nevada State Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 E Russell Rd Ste 105l, Las Vegas, NV 89120 Phone: 702-714-1648 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |