NPIMap

Organization Active NPI

Dominic Ricciardi Inc

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1235406463
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11899 Issued in NV
Legal business name
DOMINIC RICCIARDI INC
Practice address
8285 W Arby Ave Ste 165
Las Vegas, NV 89113-2239
Phone
(702) 363-6005
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dominic Ricciardi, MD
Title
President
Phone
(702) 363-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 11899 NV Primary

Addresses

Primary practice location

8285 W Arby Ave Ste 165
Las Vegas, NV 89113-2239

Mailing address

8285 W Arby Ave Ste 165
Las Vegas, NV 89113-2239
Phone (702) 363-6005

National Provider Directory

National Provider Directory
Tax ID family
Dominic Ricciardi Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1235406463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132239",
            "telephone_number": "702-363-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132239",
            "telephone_number": "702-363-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC RICCIARDI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-363-6005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "11899",
            "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 16, 2011; 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.