OrganizationActive
Nevada Family Practice Residency Program, Inc.
NPI 1366477036 · Mental Health Clinic/Center (Including Community Mental Health Center) · Las Vegas, NV
Provider details
- NPI number
- 1366477036
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Parcells, President(702) 968-5059
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 E Charleston Blvd
Suite 230
Las Vegas, NV 89104-6659
Phone: (702) 968-5059
Fax: (702) 968-4041
Street-level locationGet directions
Mailing address
4000 E Charleston Blvd
Las Vegas, NV 89104-6659
Other names (DBA / former)
- Doing business as
- Mojave Mental Health
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.