Active NPI
Dudley Gonet Luke, PHD
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1295938561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0480
- Practice address
- 2340 Paseo del Prado
Suite D307
Las Vegas, NV 89102 - Phone
- (702) 423-4102
- Fax
- (702) 486-5896
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0480 | NV | Primary |
| Clinical Psychologist | 103TC0700X | PSY15951 | CA |
Addresses
Primary practice location
2340 Paseo del Prado
Suite D307
Las Vegas, NV 89102
Mailing address
8550 West Desert Inn
Suite 102-275
Las Vegas, NV 89117
Phone (702) 423-4102
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15951 | CA | MD | Clinical Psychologist |
| PY0480 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295938561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 WEST DESERT INN",
"address_2": "SUITE 102-275",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89117",
"telephone_number": "702-423-4102",
"fax_number": "701-486-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 PASEO DEL PRADO",
"address_2": "SUITE D307",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-423-4102",
"fax_number": "702-486-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "DUDLEY",
"middle_name": "GONET",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0480",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15951",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.