Active NPI
Sharon Jones-Forrester, PH.D.
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1003122979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0604
- Practice address
- 716 S 6TH St
Las Vegas, NV 89101-6922 - Phone
- (702) 510-6502
- Fax
- (702) 382-4993
- NPI assigned
- Aug 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0604 | NV | Primary |
Addresses
Primary practice location
716 S 6TH St
Las Vegas, NV 89101-6922
Mailing address
716 S 6TH St
Las Vegas, NV 89101-6922
Phone (725) 605-8980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105000200 | NV | Practitioner - Clinical Psychologist | 5991994089 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1003122979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 S 6TH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016922",
"telephone_number": "725-605-8980",
"fax_number": "702-382-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 S 6TH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016922",
"telephone_number": "702-510-6502",
"fax_number": "702-382-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-FORRESTER",
"first_name": "SHARON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-29",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.