Active NPI
Soseh Esmaeili, M.A., PSY.D.
- Psychologist
- Las Vegas, NV
National Provider Identifier
1194974618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0778
- Practice address
- 2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892 - Phone
- (702) 553-2364
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY25927 | CA | |
| Psychologist | 103T00000X | PY0778 | NV | Primary |
Addresses
Primary practice location
2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892
Mailing address
2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892
Phone (702) 553-2364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25927 | CA | MD | Psychologist |
| PY0778 | NV | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1194974618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 REGATTA DR STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286892",
"telephone_number": "702-553-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 REGATTA DR STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286892",
"telephone_number": "702-553-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMAEILI",
"first_name": "SOSEH",
"credential": "M.A., PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25927",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0778",
"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 Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.