DR. ANDREW JOSEPH DISAVINO (NPI# 1962593806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962593806 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOSEPH DISAVINO |
| Credential | PSY.D. |
| Practice Address |
916 W Owens Ave Las Vegas NV 89106-2516 |
| Mailing Address |
6500 Vegas Dr 2089 Las Vegas NV 89108-7707 |
| Practice Telephone | 7026364060 |
| Mailing Telephone | 2158928956 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS-006371-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
916 W OWENS AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639136112 | Herbert P Goldman | Psychiatry & Neurology | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2006-04-27 |
| 1952913790 | Clever Alliance LLC | Clinic/Center | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2020-08-22 |
| 1689204166 | Therapeutic Integrated Medical Care Inc | Community/Behavioral Health | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2020-01-23 |
| 1164076873 | Monteray Sellers Deandre Mcgee | Nurse Practitioner | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2019-07-31 |
| 1144742800 | L Empey Do Nucleus Medical Group Pllc | Family Medicine | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2017-07-13 |
| 1336542711 | Jeffrey Smith | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2014-09-30 |
| 1053666529 | Robyn M Klein | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2012-07-19 |
| 1962773127 | Thomas Jones | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2012-01-19 |
| 1245507037 | Steven J Cox | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2011-11-21 |
| 1396047312 | Denise Gray | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2010-11-23 |
| Find all providers in the same location | ||||
| 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.