Organization Active NPI

Sharon Jones-Forrester, PHD, PC

  • Clinical Neuropsychologist
  • Las Vegas, NV
National Provider Identifier
1124322904
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY0614 Issued in NV
Legal business name
SHARON JONES-FORRESTER, PHD, PC
Practice address
716 S 6TH St
Las Vegas, NV 89101-6922
Phone
(702) 382-1960
Fax
(702) 382-4993
NPI assigned
Jan 7, 2011
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Sharon Jones-Forrester, PH.D.NPI 1003122979
Title
President
Phone
(702) 510-6502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PY0614 NV Primary

Addresses

Primary practice location

716 S 6TH St
Las Vegas, NV 89101-6922

Mailing address

716 S 6TH St
Las Vegas, NV 89101-6922
Phone (702) 382-1960

National Provider Directory

National Provider Directory

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1124322904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S 6TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016922",
            "telephone_number": "702-382-1960",
            "fax_number": "702-382-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S 6TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016922",
            "telephone_number": "702-382-1960",
            "fax_number": "702-382-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON JONES-FORRESTER, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "JONES-FORRESTER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-510-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "PY0614",
            "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 Jan 7, 2011; 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.