Academic Associates Intec Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP2606 Issued in CA

Legal business name

ACADEMIC ASSOCIATES INTEC INC

Practice address

848 N Rainbow Blvd # 2185
Las Vegas, NV 89107-1103

Phone

(714) 692-5555

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Wells

Title

Presidnet

Phone

(714) 692-5555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053466573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N RAINBOW BLVD # 2185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071103",
            "telephone_number": "714-692-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N RAINBOW BLVD # 2185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071103",
            "telephone_number": "714-692-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC ASSOCIATES INTEC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "714-692-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.