Individual provider Active NPI

Mary Lou Ancheta, PSYD

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1346719754
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1201 Issued in NV
Practice address
303 S Water St Ste 230
Henderson, NV 89015-7308
Phone
(702) 763-7321
NPI assigned
Nov 14, 2018
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY1201 NV Primary

Addresses

Primary practice location

303 S Water St Ste 230
Henderson, NV 89015-7308

Mailing address

303 S Water St Ste 230
Henderson, NV 89015-7308
Phone (702) 763-7321

Other practice location 1

20325 N 51st Ave Ste 168
Glendale, AZ 85308-4624
Phone (844) 385-3747

Other practice location 2

2500 S Power Rd Bldg 2
Mesa, AZ 85209-6686
Phone (844) 385-3747

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
PY1201NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ancheta Psychological Services PLLC Clinical Current Accepting new patients
Goodwill Industries of Santa Clara County Past Accepting new patients

Locations

303 S Water St
Ste 230
Henderson, NV 89015
Phone (702) 451-2141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1346719754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WATER ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157308",
            "telephone_number": "702-763-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WATER ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157308",
            "telephone_number": "702-763-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave Ste 168",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853084624",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Power Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852096686",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANCHETA",
        "first_name": "MARY LOU",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1201",
            "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 Sep 1, 2026; 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.