Individual provider Active NPI

Sharon Jung, PSY.D.

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1184011041
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015890 Issued in MI
Practice address
2430 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone
(702) 247-9994
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 6301015890 MI Primary

Addresses

Primary practice location

2430 W Horizon Ridge Pkwy
Henderson, NV 89052

Mailing address

3140 Saint Rose Pkwy Unit 1408
Henderson, NV 89052-3535
Phone (818) 314-1905

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
I20171019001007 NV Practitioner - Clinical Psychologist 6800162843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301015890MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yu Neurology and Electrodiagnostic Center of Nevada LTD CurrentSince Oct 23, 2017 Accepting new patients

Locations

2380 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052

2430 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 247-9994

653 N Town Center Dr
Ste 104
Las Vegas, NV 89144
Phone (702) 247-9994

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1184011041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SAINT ROSE PKWY UNIT 1408",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523535",
            "telephone_number": "818-314-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-247-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SHARON",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.