| Desert Behavioral Health | |
|
4055 Spencer St Ste 118 Las Vegas NV 89119-5250 | |
| (702) 799-9710 | |
| (702) 799-9712 |
| Full Name | Desert Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4055 Spencer St Ste 118, Las Vegas, Nevada |
| Authorized Official Name and Position | Qingfang Zhang (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7027999710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Behavioral Health 4055 Spencer St Ste 118 Las Vegas NV 89119-5250 Ph: (702) 799-9710 | Desert Behavioral Health 4055 Spencer St Ste 118 Las Vegas NV 89119-5250 Ph: (702) 799-9710 |
| NPI Number | 1467785527 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 3274702360 |
|---|---|
| Medicare Enrollment ID | O20110805000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467785527 | NPI | - | NPPES |
| 1659433787 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1008584355-000 (Nevada) | Primary |
| Provider Name | Michelle Keiserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083841217 PECOS PAC ID: 8426274531 Enrollment ID: I20140725002265 |
| Provider Name | Erin L Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063541282 PECOS PAC ID: 6103142260 Enrollment ID: I20150307000024 |
| Provider Name | Cheryl A Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316335631 PECOS PAC ID: 2466766951 Enrollment ID: I20150728004952 |
| Provider Name | Qingfang Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538495627 PECOS PAC ID: 9133492929 Enrollment ID: I20180226001179 |
| Provider Name | Gordon Frank Cvach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336423995 PECOS PAC ID: 7012279391 Enrollment ID: I20180326002676 |
| Provider Name | Guillermina Arambula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851678098 PECOS PAC ID: 5799049342 Enrollment ID: I20180507000895 |
| Provider Name | Shelly Rienhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376973768 PECOS PAC ID: 0941556765 Enrollment ID: I20180710001932 |
| Provider Name | Kristina M Ricker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689064693 PECOS PAC ID: 3274838222 Enrollment ID: I20190624001442 |
| Provider Name | Sheldon Eric Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205976289 PECOS PAC ID: 8426240896 Enrollment ID: I20190724000045 |
| Provider Name | James C Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487773537 PECOS PAC ID: 9739226309 Enrollment ID: I20190821001350 |
| Provider Name | Christine Louise Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093997132 PECOS PAC ID: 4284062159 Enrollment ID: I20200309001144 |
| Provider Name | Julianna Aviles-martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508168766 PECOS PAC ID: 9032533088 Enrollment ID: I20200723000240 |
| Provider Name | Andrea Blin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477033082 PECOS PAC ID: 0547685364 Enrollment ID: I20200810003062 |
| Provider Name | Kody William Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194215384 PECOS PAC ID: 7214354182 Enrollment ID: I20200825000245 |
| Provider Name | Kristin Paragas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912306390 PECOS PAC ID: 5890112304 Enrollment ID: I20200828002520 |
| Provider Name | Jessica Ann Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639658842 PECOS PAC ID: 1456778893 Enrollment ID: I20200831000744 |
| Provider Name | Sophie Angela Swearingen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972094118 PECOS PAC ID: 6800214701 Enrollment ID: I20200909001379 |
| Provider Name | Jennifer O'toole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891099685 PECOS PAC ID: 1052719614 Enrollment ID: I20211012001983 |
| Provider Name | Rileigh Ard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336627611 PECOS PAC ID: 6507247822 Enrollment ID: I20220718003821 |
| Provider Name | Tammy K Salmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730514019 PECOS PAC ID: 1355628298 Enrollment ID: I20221207001205 |
| Provider Name | Melinda Matulis Ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851897805 PECOS PAC ID: 9436528122 Enrollment ID: I20221220002161 |
| Provider Name | Habtamua Fekadu Assore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053962027 PECOS PAC ID: 6901276278 Enrollment ID: I20221230001957 |
| Provider Name | Rebecca Choi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871193441 PECOS PAC ID: 1355716655 Enrollment ID: I20230418001212 |
| Provider Name | Elaina W Mayoyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902485139 PECOS PAC ID: 0941666341 Enrollment ID: I20230509002134 |
| Provider Name | Anita Sidhu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821627878 PECOS PAC ID: 0042678104 Enrollment ID: I20230621003011 |
| Provider Name | Khoury Kelsey Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265959746 PECOS PAC ID: 1951751213 Enrollment ID: I20231228002162 |
| Provider Name | Africa Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073944070 PECOS PAC ID: 1355784620 Enrollment ID: I20240205000892 |
| Provider Name | Jonathan F Brown |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1235532953 PECOS PAC ID: 9931542099 Enrollment ID: I20240206003526 |
| Provider Name | Casey Justine Seibert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437724929 PECOS PAC ID: 6204279870 Enrollment ID: I20240210000566 |
| Provider Name | Tommie S Guesman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568782001 PECOS PAC ID: 8729424387 Enrollment ID: I20240306002106 |
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