Active NPI
Melissa Ann Depa, PH.D.
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1114379518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1007
- Practice address
- 3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750 - Phone
- (702) 650-6508
- NPI assigned
- Jul 8, 2016
- 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 | PY1007 | NV | Primary |
Addresses
Primary practice location
3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Mailing address
3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Phone (702) 650-6508
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1007 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1114379518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3067 E WARM SPRINGS RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203750",
"telephone_number": "702-650-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 E WARM SPRINGS RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203750",
"telephone_number": "702-650-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPA",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY1007",
"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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.