Healthcare Provider Details

I. General information

NPI: 1336612712
Provider Name (Legal Business Name): BEHAVIORAL HEALTH INSTITUTE INC (SINGH) PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S RANCHO DR STE D34
LAS VEGAS NV
89106-4874
US

IV. Provider business mailing address

601 S RANCHO DR STE D34
LAS VEGAS NV
89106-4874
US

V. Phone/Fax

Practice location:
  • Phone: 702-852-6633
  • Fax: 702-749-6255
Mailing address:
  • Phone: 702-852-6633
  • Fax: 702-749-6255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMITABH SINGH
Title or Position: CEO
Credential: MD
Phone: 702-852-6633