OrganizationActive
Tower Bridge Developmental Health Center
NPI 1912268467 · Adolescent and Children Mental Health Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1912268467
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shana Wickersham, Owner(702) 513-8321
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9484 S Eastern Ave
Suite 67
Las Vegas, NV 89123-3987
Phone: (702) 513-8321
Approximate (ZIP-level) locationGet directions
Mailing address
9484 S Eastern Ave
Las Vegas, NV 89123-3987
Registry dates
- Enumerated
- 2012-05-31
- Last updated
- 2012-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.