Active NPI
Patricia Ann Brassfield PHD LTD
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1053624619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PYO325
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1891714697
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.