PSYCHOLOGY SPECIALISTS LTD (NPI# 1003473448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003473448 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGY SPECIALISTS LTD |
| Practice Address |
801 S Rancho Dr Ste A2 Las Vegas NV 89106-3870 |
| Mailing Address |
Po Box 604 Bloomington IL 61702-0604 |
| Practice Telephone | 7028055360 |
| Practice Fax Number | 3096632995 |
| Mailing Telephone | 3097063190 |
| Mailing Fax Number | 3096632995 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | AUDREY M EADES (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3097063190 |
| Is Organization Subpart | Y |
| Parent Organization Name | PSYCHOLOGY SPECIALISTS LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE | PY0777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053368605 | Psychology Specialists Ltd | Psychologist | 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 | 2006-05-28 |
| Street Address |
801 S RANCHO DR STE A2 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144678681 | Johna Dean | Counselor | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2016-05-25 |
| 1417561226 | Leslie Alvarez | Counselor | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2020-08-31 |
| 1619580529 | Aaisma Regmi | Counselor | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2020-08-28 |
| 1457995813 | Grace Wellness Center LLC | Assisted Living Facility | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2019-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
| 1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
| 1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
| 1609358472 | Helping Heart LLC | Psychologist | 2855 W Pebble Rd Unit 303, Las Vegas, NV 89123-6504 | 2018-08-29 |
| 1285148890 | Amanda Devillez | Psychologist | 5550 W Flamingo Rd Ste B, Las Vegas, NV 89103-2334 | 2017-11-20 |
| 1699169318 | Rosalie Adriano | Psychologist | 7761 Tattersall Flag St, Las Vegas, NV 89139-6406 | 2015-03-19 |
| 1538566377 | Jennifer D Karmely Ph D, Pllc | Psychologist | 3196 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2315 | 2014-11-21 |
| 1740610278 | Brian Potts | Psychologist | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2013-11-19 |
| 1417200262 | Stephanie A Stowman, Phd | Psychologist | 4055 Spencer St, Suite 126, Las Vegas, NV 89119-9303 | 2012-10-17 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.