Organization Active NPI

Sandstone Psychological Practice

  • Counseling Psychologist
  • Henderson, NV
National Provider Identifier
1346658523
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY0722 Issued in NV
Legal business name
SANDSTONE PSYCHOLOGICAL PRACTICE
Practice address
660 Finch Island Ave
Henderson, NV 89015-6637
Phone
(702) 738-4472
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Janell M Mihelic, PH.D.NPI 1497161392
Title
Licensed Clinical Psychologist
Phone
(702) 738-4472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY0721 NV
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X PY0722 NV Primary

Addresses

Primary practice location

660 Finch Island Ave
Henderson, NV 89015-6637

Mailing address

660 Finch Island Ave
Henderson, NV 89015-6637
Phone (702) 738-4472

National Provider Directory

National Provider Directory

Locations

1070 W Horizon Ridge Pkwy
Ste 210
Henderson, NV 89012
Phone (702) 405-0904

2501 N Green Valley Pkwy
Ste 130D
Henderson, NV 89014
Phone (702) 824-9639

711 Mall Ring Cir
Ste 202
Henderson, NV 89014
Phone (702) 405-0904

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1346658523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 FINCH ISLAND AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156637",
            "telephone_number": "702-738-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 FINCH ISLAND AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156637",
            "telephone_number": "702-738-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE PSYCHOLOGICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MIHELIC",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-738-4472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0721",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NV",
            "license": "PY0722",
            "primary": true
        }
    ],
    "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 Jul 31, 2014; 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.