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TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER
NPI 1912268467
Clinic/Center - Adolescent and Children Mental Health in Las Vegas, NV

Active since May 31, 2012
9484 S EASTERN AVE, SUITE 67, LAS VEGAS, NV 89123(702) 513-8321 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tower Bridge Developmental Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER (NPI 1912268467) is a healthcare organization registered as an adolescent and children mental health in Las Vegas, Nevada and active in the NPI registry since May 2012. The organization lists Shana Wickersham, Owner, as its authorized official.

NPPES Registry Identity

NPI1912268467
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameTOWER BRIDGE DEVELOPMENTAL HEALTH CENTER
Location Address9484 S EASTERN AVE, SUITE 67Las Vegas, NV 89123-3987
Mailing Address9484 S Eastern Ave, Suite 67Las Vegas, NV 89123-3987 · (702) 513-8321
Phone(702) 513-8321
Organization SubpartNo
Authorized OfficialShana WickershamOwner · (702) 513-8321
Enumeration DateMay 31, 2012
✔ NPI 1912268467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
9484 S EASTERN AVE, Las Vegas, NV 89123
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Other Identifiers 6

Medicaid1053417345NV
Medicaid1750642310NV
Medicaid1619968021NV
Medicaid1487953915NV
Medicaid1912272527NV
Medicaid1679847040NV

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALMA MAY F DEWEY MD A PROFESSIONAL CORPORATION
Clinic/Center (Primary Care)
9484 S EASTERN AVE, #102
LAS VEGAS, NV 89123
Clark County (702) 492-9990
NATALIE TRIPLETT
Behavior Analyst
9484 S EASTERN AVE, SUITE 67
LAS VEGAS, NV 89123
Clark County (702) 445-0874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tower Bridge Developmental Health Center's NPI number?

The NPI number for Tower Bridge Developmental Health Center is 1912268467. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Tower Bridge Developmental Health Center located?

Tower Bridge Developmental Health Center is located at 9484 S Eastern Ave Suite 67, Las Vegas, NV 89123. The listed phone number is (702) 513-8321.

What is Tower Bridge Developmental Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Tower Bridge Developmental Health Center was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.