| Pinnacle Mental Health Services Inc | |
|
5426 Vegas Dr Las Vegas NV 89108-2403 | |
| (702) 806-5286 | |
| Not Available |
| Full Name | Pinnacle Mental Health Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5426 Vegas Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Kenneth Todd Pehrson (OWNER) |
| Authorized Official Contact | 7028239042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Mental Health Services Inc 5426 Vegas Dr Las Vegas NV 89108-2403 Ph: () - | Pinnacle Mental Health Services Inc 5426 Vegas Dr Las Vegas NV 89108-2403 Ph: (702) 806-5286 |
| NPI Number | 1215572201 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 5698185098 |
|---|---|
| Medicare Enrollment ID | O20201112002427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215572201 | NPI | - | NPPES |
| NV20121716669 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kenneth Todd Pehrson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215221957 PECOS PAC ID: 8527282987 Enrollment ID: I20140605001024 |
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