Individual provider Active NPI

Ivan Hronek

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1295288967
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0879 Issued in NV
Practice address
7341 W Charleston Blvd Ste 150
Las Vegas, NV 89117-1578
Phone
(702) 268-8542
Fax
(702) 268-8719
NPI assigned
Jul 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X PY0879 NV Primary

Addresses

Primary practice location

7341 W Charleston Blvd Ste 150
Las Vegas, NV 89117-1578

Mailing address

7341 W Charleston Blvd Ste 150
Las Vegas, NV 89117-1578
Phone (702) 268-8542

Other practice location 1

600 W Santa Ana Blvd
Suite 510
Santa Ana, CA 92701-4558
Phone (714) 667-5612

Other practice location 2

3211 E Warm Springs Rd
Las Vegas, NV 89120
Phone (702) 912-5848

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY0879NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver State Psychology CurrentSince May 16, 2021 Accepting new patients
Silver State Psychology Clinical Neuropsychologist CurrentSince Mar 29, 2020 Accepting new patients
Nicole Ann Cavenagh, PHD, LLC PastSince Feb 6, 2022 Accepting new patients
Nicole Ann Cavenagh, PHD, LLC Clinical Neuropsychologist PastSince Sep 12, 2021 Accepting new patients

Locations

7341 W Charleston Blvd
Ste 150
Las Vegas, NV 89117
Phone (702) 268-8542

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1295288967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171578",
            "telephone_number": "702-268-8542",
            "fax_number": "702-268-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171578",
            "telephone_number": "702-268-8542",
            "fax_number": "702-268-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Santa Ana Blvd",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014558",
            "country_code": "US",
            "telephone_number": "714-667-5612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3211 E Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89120",
            "country_code": "US",
            "telephone_number": "702-912-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRONEK",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0879",
            "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 Mar 23, 2020; 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.