Provider Demographics
| NPI: | 1144840794 |
|---|---|
| Name: | CENTER FOR COMMUNITY SOLUTIONS |
| Entity type: | Organization |
| Organization Name: | CENTER FOR COMMUNITY SOLUTIONS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | BOARD MEMBER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KENNETH |
| Authorized Official - Middle Name: | RICHARD |
| Authorized Official - Last Name: | MCKAY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 702-518-3072 |
| Mailing Address - Street 1: | 526 S TONOPAH DR STE 160 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LAS VEGAS |
| Mailing Address - State: | NV |
| Mailing Address - Zip Code: | 89106-4044 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 702-518-3072 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 526 S TONOPAH DR STE 160 |
| Practice Address - Street 2: | |
| Practice Address - City: | LAS VEGAS |
| Practice Address - State: | NV |
| Practice Address - Zip Code: | 89106-4044 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 702-518-3072 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-04-23 |
| Last Update Date: | 2020-04-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 364SP0807X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Adolescent | Group - Multi-Specialty |
| No | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
