Individual provider Active NPI

Aeriel Grace Halstead, PHD

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1144053299
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PA148 Issued in NV
Practice address
1070 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-6019
Phone
(702) 405-0904
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PA148 NV Primary

Addresses

Primary practice location

1070 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-6019

Mailing address

4104 Pequeno Ave
Las Vegas, NV 89120-1509
Phone (702) 461-0203

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250930004145 NV Practitioner - Clinical Psychologist 4587160429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Solutions LLCGroup PAC ID 9638677313, 3 clinicians

Practice addresses (Care Compare)

1070 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-6019
Phone (702) 900-7906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA148NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Solutions LLC Clinical CurrentSince Aug 11, 2025 Accepting new patients

Locations

1070 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 323-6019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1144053299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 PEQUENO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201509",
            "telephone_number": "702-461-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126019",
            "telephone_number": "702-405-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "AERIEL",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PA148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.