Organization Active NPI

Harder Medical, Inc.

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1356471965
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0338 Issued in NV
Legal business name
HARDER MEDICAL, INC.
Practice address
4955 S. Durango Dr.
Suite 214
Las Vegas, NV 89113-0157
Phone
(702) 685-5297
Fax
(702) 685-5314
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Gregory Scott Harder, PSY.D.
Title
Licensed Psychologist
Phone
(702) 685-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY0338 NV Primary

Addresses

Primary practice location

4955 S. Durango Dr.
Suite 214
Las Vegas, NV 89113-0157

Mailing address

4955 S. Durango Dr.
Suite 214
Las Vegas, NV 89113-0157
Phone (702) 685-5297

Other identifiers 1

IdentifierTypeStateIssuer
002602054MedicaidNV

National Provider Directory

National Provider Directory

Locations

4955 S Durango Dr
Ste 214
Las Vegas, NV 89113
Phone (702) 685-5297

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1356471965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 S. DURANGO DR.",
            "address_2": "SUITE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130157",
            "telephone_number": "702-685-5297",
            "fax_number": "702-685-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S. DURANGO DR.",
            "address_2": "SUITE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130157",
            "telephone_number": "702-685-5297",
            "fax_number": "702-685-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDER MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-685-5297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602054",
            "state": "NV"
        }
    ],
    "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 Sep 4, 2012; 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.