Organization Active NPI

Lawrence Kapel,PH.D. LTD

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1275730251
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY257 Issued in NV
Legal business name
LAWRENCE KAPEL,PH.D. LTD
Practice address
1090 Wigwam Parkway
Suite 100
Henderson, NV 89074
Phone
(702) 454-0201
Fax
(702) 454-1245
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Ms. Debra Ellen Quinn
Title
Billing Manager
Phone
(702) 454-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY257 NV Primary

Addresses

Primary practice location

1090 Wigwam Parkway
Suite 100
Henderson, NV 89074

Mailing address

1090 Wigwam Parkway
Suite 100
Henderson, NV 89074
Phone (702) 454-0201

Other identifiers 1

IdentifierTypeStateIssuer
2602031MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1275730251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PARKWAY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-454-0201",
            "fax_number": "702-454-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PARKWAY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-454-0201",
            "fax_number": "702-454-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE KAPEL,PH.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-454-0201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2602031",
            "state": "NV"
        }
    ],
    "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 Jun 8, 2010; 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.