FIELDS OF WELLNESS HOMES NPI 1174757611

NPI Information

NPI: 1174757611
Provider Name: FIELDS OF WELLNESS HOMES

Doing Business As: FIELDS OF WELLNESS HOMES

Classification: Psychologist - 103TF0000X
Entity Type: Organization

Specialization: Family

Address:
1529 DUHAMEL WAY
1529 DUHAMEL WAY
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 813-6573
Get Directions

FIELDS OF WELLNESS HOMES is a family psychologist in North Las Vegas, NV. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. FIELDS OF WELLNESS HOMES NPI is 1174757611. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fields Of Wellness Homes.

The provider's business location address is:

1529 DUHAMEL WAY
1529 DUHAMEL WAY
NORTH LAS VEGAS, NV
ZIP 89032-937
Phone: (702) 813-6573

The provider's authorized official is Patricia Gail Caldwell .
The authorized official title is Founder/ceo and has the following contact phone number (702) 813-6573.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1001986083	NEVADA	No
2	101YP1600X	Counselor	Pastoral	1001986083	NEVADA	No
3	103T00000X	Psychologist		1001986083	NEVADA	No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	1001986083	NEVADA	No
5	103TH0004X	Psychologist	Health	1001986083	NEVADA	No
6	103TH0100X	Psychologist	Health Service	1001986083	NEVADA	No
7	103TP0814X	Psychologist	Psychoanalysis	1001986083	NEVADA	No
8	103TP2701X	Psychologist	Group Psychotherapy	1001986083	NEVADA	No
9	104100000X	Social Worker		1001986083	NEVADA	No
10	323P00000X	Psychiatric Residential Treatment Facility		1001986083	NEVADA	No
11	103TF0000X	Psychologist	Family	1001986083	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DESI1202	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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