Brent Fladmo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PA07012014 Issued in NV

Practice address

5426 Vegas Drive
Las Vegas, NV 89108

Phone

(702) 496-6716

Fax

(702) 485-1107

NPI assigned

Feb 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solutio Services

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1932690724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1124340690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 VEGAS DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89108",
            "telephone_number": "702-496-6716",
            "fax_number": "702-485-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 VEGAS DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89108",
            "telephone_number": "702-496-6716",
            "fax_number": "702-485-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLADMO",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PA07012014",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FKS Enterprise Inc
• Talece Kyla Flaack-Sanchez
• Clarice Fladger
• Melany Fladger
• Sakiyna J. Fladger
• Flagg LLC D/B/a Reality Recovery
• Allen B Flagg Jr., LADC
• Dalva A Flagg
• Traci Lynn Flagler
• Haley Flaherty

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.