Individual provider Active NPI

Shoshana Katz Shumaker, PLP

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1205672458
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1282 Issued in NV
Practice address
6460 Medical Center St Ste 140
Las Vegas, NV 89148-2420
Phone
(702) 888-1340
Fax
(702) 888-1342
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 PY1282 NV Primary

Addresses

Primary practice location

6460 Medical Center St Ste 140
Las Vegas, NV 89148-2420

Mailing address

6460 Medical Center St Ste 140
Las Vegas, NV 89148-2420
Phone (702) 888-1340

Other practice location 1

8390 W Windmill Ln Ste 102&103
Las Vegas, NV 89113-4420
Phone (702) 888-1340

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
I20251002003279 NV Practitioner - Clinical Psychologist 5991201436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6460 Medical Ctr St
Suite 140
Las Vegas, NV 89148-2420

7250 Peak Dr
Suite 214
Las Vegas, NV 89128-9027

8381 Las Lunas Way
Las Vegas, NV 89129-1820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY1282NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boys Town Nevada, Inc. CurrentSince Jul 21, 2024 Accepting new patients
McGuire Psychological Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Boys Town Nevada, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Talbert Medical Group Past Accepting new patients

Locations

6460 Medical Center St
Ste 140
Las Vegas, NV 89148
Phone (702) 888-1340

7250 Peak Dr
Ste 200A
Las Vegas, NV 89128
Phone (725) 485-7100

7250 Peak Dr
Ste 214
Las Vegas, NV 89128
Phone (725) 485-7100

Organizations & group practices 4

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1205672458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482420",
            "telephone_number": "702-888-1340",
            "fax_number": "702-888-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482420",
            "telephone_number": "702-888-1340",
            "fax_number": "702-888-1342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8390 W Windmill Ln Ste 102&103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891134420",
            "country_code": "US",
            "telephone_number": "702-888-1340",
            "fax_number": "702-888-1342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "SHOSHANA",
        "middle_name": "KATZ",
        "credential": "PLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.