Embark Psychological Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EMBARK PSYCHOLOGICAL SERVICES LLC

Practice address

8879 W Flamingo Rd Ste 101
Las Vegas, NV 89147-8732

Phone

(626) 863-7569

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roanne Velarde, PSYDNPI 1689086621

Title

Managing Member/Owner

Phone

(626) 863-7569

Specialties & licenses 1

Addresses

Locations

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.

• Roanne Joy Tiongson Velarde, PSYD

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1689086621
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1174386197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 N HUALAPAI WAY STE 130-722",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8879 W FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478732",
            "telephone_number": "626-863-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "ROANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "626-863-7569",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emancipation Health & Wellness LLC
• Emanuel Leatherwood
• Carlos C. Emanuel, M.D.
• Taresha Emanuel
• Angel Emasabe
• Earl Jon Viray Emboltura
• Embrace Health and Wellness Center
• Embrace Hospice & Palliative Care LLC
• Embrace the Journey LLC
• Embracing Hearts Pca LLC

• Adult Mental Health Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Mental Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.