GOLDSMITH HEALTHCARE LTD NPI 1508246752

NPI Information

NPI: 1508246752
Provider Name: GOLDSMITH HEALTHCARE, LTD

Doing Business As: INNOVATIVE CARE PHYSICIANS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5375 S FORT APACHE RD
102-103
LAS VEGAS, NV
ZIP 89148
Phone: (702) 646-9444
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GOLDSMITH HEALTHCARE, LTD is a mental health counselor in Las Vegas, NV. GOLDSMITH HEALTHCARE, LTD NPI is 1508246752. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovative Care Physicians.

The provider's business location address is:

5375 S FORT APACHE RD
102-103
LAS VEGAS, NV
ZIP 89148-623
Phone: (702) 646-9444
Fax: (702) 646-9022

The provider's authorized official is Ivan Lee Goldsmith .
The authorized official title is Owner/director and has the following contact phone number (702) 646-9444.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 6/3/2015.

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	101YM0800X	Counselor	Mental Health	6116	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	6116	OTHER	NEVADA	NV MEDICAL LICENSE
2	2019160	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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