| Nevada Behavioral Health Systems | |
|
3035 S. Maryland Parkway Suite 110 Las Vegas NV 89109 | |
| (702) 978-8100 | |
| (702) 857-8801 |
| Full Name | Nevada Behavioral Health Systems |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3035 S. Maryland Parkway, Las Vegas, Nevada |
| Authorized Official Name and Position | Abby Grossa (CFO) |
| Authorized Official Contact | 7023388373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Behavioral Health Systems 2921 N. Tenaya Way Las Vegas NV 89128-0454 Ph: (702) 683-2591 | Nevada Behavioral Health Systems 3035 S. Maryland Parkway Suite 110 Las Vegas NV 89109 Ph: (702) 978-8100 |
| NPI Number | 1699158600 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 0345657979 |
|---|---|
| Medicare Enrollment ID | O20210329000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699158600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ward K Swallow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871626564 PECOS PAC ID: 6507842630 Enrollment ID: I20040628001542 |
| Provider Name | Virgilio Desio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073764239 PECOS PAC ID: 3274815493 Enrollment ID: I20170124002038 |
| Provider Name | Brenna Elaine Benas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841636008 PECOS PAC ID: 4082042734 Enrollment ID: I20200312000942 |
| Provider Name | Rachel Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053428524 PECOS PAC ID: 5799192308 Enrollment ID: I20210326002307 |
| Provider Name | Rory Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679023196 PECOS PAC ID: 9638587413 Enrollment ID: I20210415000905 |
| Provider Name | Anna Slowek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588263768 PECOS PAC ID: 0446668016 Enrollment ID: I20210420001409 |
| Provider Name | David J Ventrelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639342140 PECOS PAC ID: 1850437369 Enrollment ID: I20220815000650 |
| Provider Name | Liam Alexander Paige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083969885 PECOS PAC ID: 1052795846 Enrollment ID: I20220828000082 |
| Provider Name | Channel Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386055267 PECOS PAC ID: 6800259193 Enrollment ID: I20230905001839 |
| Provider Name | Melissa Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669048781 PECOS PAC ID: 8628422862 Enrollment ID: I20230921003744 |
| Provider Name | Louis G. Sisto |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1578873527 PECOS PAC ID: 6800246992 Enrollment ID: I20240102003383 |
| Provider Name | Andre Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699012898 PECOS PAC ID: 6204289218 Enrollment ID: I20240125004045 |
| Provider Name | Jacqueline Fry |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1801334701 PECOS PAC ID: 2567815335 Enrollment ID: I20240129000735 |
| Provider Name | Artelia A Coleman |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1629237623 PECOS PAC ID: 5799120242 Enrollment ID: I20240223003919 |
| Provider Name | Casey Rene Casillas-nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710323720 PECOS PAC ID: 5193160489 Enrollment ID: I20240226004034 |
| Provider Name | Janet Aispuro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396358966 PECOS PAC ID: 1658718663 Enrollment ID: I20240326004275 |
| Provider Name | Linda Aboagye-kwakye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699175505 PECOS PAC ID: 7214378173 Enrollment ID: I20240509003773 |
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