DR. MICHAEL KELLY GANN (NPI# 1164530812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164530812 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KELLY GANN |
| Credential | PHD |
| Practice Address |
1180 N Town Center Dr Ste 100 Las Vegas NV 89144-6363 |
| Mailing Address |
3862 Starfield Ln Las Vegas NV 89147-8032 |
| Practice Telephone | 7023332907 |
| Practice Fax Number | 7023332693 |
| Mailing Telephone | 7023332907 |
| Mailing Fax Number | 7023332693 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY0791 | NV | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26848 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3413 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659806925 | Michael Chad Gann | Specialist/Technologist | 1000 Dorsey St, Burleson, TX 76028-5650 | 2017-04-25 |
| 1104358688 | Michael Keith Gann Jr. | Family Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2017-04-03 |
| Street Address |
1180 N TOWN CENTER DR STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760404768 | Clarence E. Grim | Internal Medicine | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2006-07-25 |
| 1871192401 | Life Change Therapy LLC | Psychologist | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-10-24 |
| 1689288607 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-08 |
| 1891309720 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-08 |
| 1306450986 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-01 |
| 1972122596 | Dl Howard Md Phd Pllc | Obstetrics & Gynecology | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-14 |
| 1295354132 | Thrive LLC | Clinic/Center | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-10 |
| 1114556222 | Aroma Functional Nutrition Psychiatry, LLC | Psychiatry & Neurology | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-02 |
| 1215563424 | Dr. David Rogers, Phd Ltd. | Clinic/Center | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-03-19 |
| 1699326645 | Transitions In Lyfe. LLC | Counselor | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| 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.