Autism Diagnostic Services LLC

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

Legal business name

AUTISM DIAGNOSTIC SERVICES LLC

Practice address

1775 Village Center Cir Ste 190
Las Vegas, NV 89134-0571

Phone

(702) 213-2123

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Wallisch, M.S.,CCC-SLPNPI 1780185645

Title

Speech Language Pathologist/ Ceo

Phone

(702) 213-2123

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Katherine Hanta Wallisch, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1780185645
  NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1326721028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "702-213-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 VILLAGE CENTER CIR STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340571",
            "telephone_number": "702-213-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Elm St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034540",
            "country_code": "US",
            "telephone_number": "702-213-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "WALLISCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/ CEO",
        "authorized_official_telephone_number": "702-213-2123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Autism Building Blocks
• Autism Building Blocks
• Autism Care Plus LTD
• Autism Care West LLC
• Autism Learning Centers, LLC
• Autism Muva
• Autism Pride Center LLC
• Autism Therapy Centers LLC
• Auto Prox LLC

• Pediatric Neurodevelopmental Disabilities Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.