NPIMap

Organization Active NPI

Best Version of Yourself Psychology LLC

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1306437827
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEST VERSION OF YOURSELF PSYCHOLOGY LLC
Practice address
2831 Saint Rose Pkwy Ste 237
Henderson, NV 89052-4840
Phone
(702) 589-4712
NPI assigned
Jan 27, 2021
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Shanel Davine Harris, BCBA, LBANPI 1568928844
Title
Owner
Phone
(213) 200-6123

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

2831 Saint Rose Pkwy Ste 237
Henderson, NV 89052-4840

Mailing address

2831 Saint Rose Pkwy Ste 237
Suite 237
Henderson, NV 89052-4840
Phone (702) 589-4712

Other practice location 1

12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009
Phone (214) 444-7657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522000546 TX Part B Supplier - Clinic/Group Practice 8224508007 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

2831 Saint Rose Pkwy
Ste 237
Henderson, NV 89052
Phone (702) 589-4712

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1306437827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 237",
            "address_2": "SUITE 237",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-589-4712",
            "fax_number": "888-845-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 237",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-589-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Hillcrest Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302009",
            "country_code": "US",
            "telephone_number": "214-444-7657",
            "fax_number": "888-845-8897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEST VERSION OF YOURSELF PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHANEL",
        "authorized_official_middle_name": "DAVINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-200-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.