NPIMap

Organization Active NPI

Overton Psychological Service

  • Point of Service
  • Henderson, NV
National Provider Identifier
1235661406
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
OVERTON PSYCHOLOGICAL SERVICE
Practice address
8975 S Pecos Rd
Henderson, NV 89074-7160
Phone
(702) 563-1000
Fax
(702) 563-1001
NPI assigned
Mar 28, 2017
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Jared Overton, PSYDNPI 1194822577
Title
Suupervisor
Phone
(702) 563-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

8975 S Pecos Rd
Henderson, NV 89074-7160

Mailing address

8975 S Pecos Rd
Henderson, NV 89074-7160
Phone (702) 563-1000

National Provider Directory

National Provider Directory
Tax ID family
Overton Psychological Service3 organizations share this tax ID, including this one
Part of
Overton Psychological Service

Other organizations with this tax ID 2

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

Locations

8975 S Pecos Rd
Henderson, NV 89074
Phone (702) 563-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1235661406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 S PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747160",
            "telephone_number": "702-563-1000",
            "fax_number": "702-563-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 S PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747160",
            "telephone_number": "702-563-1000",
            "fax_number": "702-563-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON PSYCHOLOGICAL SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "SUUPERVISOR",
        "authorized_official_telephone_number": "702-563-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.