Organization Active NPI

Patricia Ann Brassfield PHD LTD

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1053624619
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PYO325 Issued in NV
Legal business name
PATRICIA ANN BRASSFIELD PHD LTD
Practice address
7200 Cathedral Rock Dr
Suite 120
Las Vegas, NV 89128-0438
Phone
(702) 370-8484
Fax
(775) 537-2388
NPI assigned
Jul 23, 2010
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Patricia Ann Brassfield, PH D
Title
Owner
Phone
(702) 370-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PYO325 NV Primary

Addresses

Primary practice location

7200 Cathedral Rock Dr
Suite 120
Las Vegas, NV 89128-0438

Mailing address

PO Box 35968
Las Vegas, NV 89133-5968
Phone (702) 370-8484

National Provider Directory

National Provider Directory

Locations

7200 Cathedral Rock Dr
Ste 120
Las Vegas, NV 89128
Phone (702) 370-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1053624619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35968",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335968",
            "telephone_number": "702-370-8484",
            "fax_number": "775-537-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280438",
            "telephone_number": "702-370-8484",
            "fax_number": "775-537-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ANN BRASSFIELD PHD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-370-8484",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PYO325",
            "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 12, 2014; 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.