NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC (NORTHWEST ACADEMY) - NPI NUMBER 1134475460

Summary

Provider Name: NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC (NORTHWEST ACADEMY)

NPI Number: 1134475460

Clasification: Behavioral Analyst (103K00000X)

Address:
1472 S HIGHWAY 373
HCR 70 BOX 531
AMARGOSA VALLEY, NV
ZIP 89020

Phone Number: (775) 372-1199



Detailed Information

NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC is a behavioral analyst in Amargosa Valley, NV. The provider is a Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. The assigned NPI number for this provider is 1134475460 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwest Academy.

The provider's business address is:

1472 S HIGHWAY 373
HCR 70 BOX 531
AMARGOSA VALLEY, NV
ZIP 89020-514
Phone: (775) 372-1199
Fax: (775) 372-1196

The provider's authorized official is Marcel Chappuis .
The authorized official title is Director and has the following contact phone number (775) 372-1199.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/24/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1144592031 BOGUSLAWA GARRETT
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1134484470 NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC
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1194000141 JILL ANNE HANDLEY, B.S.
Behavioral Analyst





Taxonomy Codes

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 103K00000X Behavioral Analyst NV Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1134475460 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name NORTHWEST ACADEMY Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 1472 S HIGHWAY 373 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address HCR 70 BOX 531 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name AMARGOSA VALLEY The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name NV The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 890201514 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 7753721199 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 7753721196 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 7/24/2012 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 7/24/2012 The date that a record was last updated or changed.
17 Authorized Official Last Name CHAPPUIS The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name MARCEL The first name of the authorized official.
19 Authorized Official Title or Position DIRECTOR The title or position of the authorized official.
20 Authorized Official Telephone Number 7753721199 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 103K00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Provider License Number State Code 1 NV The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Is Organization Subpart N
25 Authorized Official Name Prefix Text DR.
26 Authorized Official Credential Text PH.D.
27 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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