Active NPI
Ariana P Mora, PSY.D
- Psychologist
- Las Vegas, NV
National Provider Identifier
1013277193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0652
- Practice address
- 6600 Amelia Earhart CT
Suite C
Las Vegas, NV 89119-3534 - Phone
- (702) 321-9863
- Fax
- (702) 896-2438
- NPI assigned
- May 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0652 | NV | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY0652 | NV |
Addresses
Primary practice location
6600 Amelia Earhart CT
Suite C
Las Vegas, NV 89119-3534
Mailing address
6600 Amelia Earhart CT
Suite C
Las Vegas, NV 89119-3534
Phone (702) 321-9863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0652 | NV | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1013277193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 AMELIA EARHART CT",
"address_2": "SUITE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193534",
"telephone_number": "702-321-9863",
"fax_number": "702-896-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 AMELIA EARHART CT",
"address_2": "SUITE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193534",
"telephone_number": "702-321-9863",
"fax_number": "702-896-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "ARIANA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0652",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NV",
"license": "PY0652",
"primary": false
}
],
"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 May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.