DR. MARISA HENDRON (NPI# 1124387816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387816 |
| Entity Type | Individual |
| Full Name | DR. MARISA HENDRON |
| Credential | PH.D. |
| Practice Address |
1820 E. Warm Springs Rd Suite 115 Las Vegas NV 89119-4680 |
| Mailing Address |
3211 E Warm Springs Rd Las Vegas NV 89120-3157 |
| Practice Telephone | 7022630094 |
| Mailing Telephone | 7029125848 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2016-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY0759 | NV | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PY0759 | NV | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PY0759 | NV | Behavioral Health & Social Service Providers |
| Street Address |
1820 E. WARM SPRINGS RD SUITE 115 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-4680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417582354 | Kathleen S. Mayers | Psychologist | 7854 W Sahara Ave, Las Vegas, NV 89117-1944 | 2020-03-11 |
| 1003466913 | Sigalit Yahav LLC | Psychologist | 8871 West Flamingo Road, Suite 202, Las Vegas, NV 89147-8729 | 2019-09-13 |
| 1659934636 | Legacy Psychological Services | Psychologist | 3651 Lindell Rd # D396, Las Vegas, NV 89103-1254 | 2019-04-16 |
| 1871087908 | Lee Center for Change | Psychologist | 3075 E Flamingo Rd Ste 118, Las Vegas, NV 89121-4300 | 2018-06-21 |
| 1518456029 | Danielle Ford-tarrance | Psychologist | 1137 Red Margin Ct Unit 103, Las Vegas, NV 89183-4955 | 2018-05-09 |
| 1902307242 | Mikaela Kurin Clark | Psychologist | 2110 Los Feliz St Unit 2072, Las Vegas, NV 89156-8026 | 2018-02-22 |
| 1134632359 | Karen M. Kampfer | Psychologist | 8475 S Eastern Ave Ste 205, Las Vegas, NV 89123-2863 | 2017-11-09 |
| 1407385354 | Abigail Banson | Psychologist | 1810 E Sahara Ave # 108, Las Vegas, NV 89104-3707 | 2017-06-05 |
| 1518341163 | Antrice Hronek | Psychologist | 5550 W Flamingo Rd Ste B1, Las Vegas, NV 89103-0136 | 2015-07-14 |
| 1023422250 | Rhiannon Rager | Psychologist | 2110 E Flamingo Rd Ste 317, Las Vegas, NV 89119-5193 | 2014-06-16 |
| 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.