Individual provider Active NPI

Tanisha M Ranger, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1396094967
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017191 Issued in PA
Practice address
6655 S Tenaya Way Ste 120
Las Vegas, NV 89113-1934
Phone
(484) 483-3093
NPI assigned
Aug 29, 2012
Reactivated
Aug 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 PS017191 PA Primary

Addresses

Primary practice location

6655 S Tenaya Way Ste 120
Las Vegas, NV 89113-1934

Mailing address

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (484) 483-3093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002149 NV Practitioner - Clinical Psychologist 0941551543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CPF SJN Outpatient LLCGroup PAC ID 0749637163, 24 clinicians
Thriving Minds Health Services CorpGroup PAC ID 1850831868, 2 clinicians

Practice addresses (Care Compare)

2930 Siena Heights Dr
Henderson, NV 89052-3871
Phone (713) 789-7560

6655 S Tenaya Way
Suite 120
Las Vegas, NV 89113-1934
Phone (702) 483-8017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017191PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Minds Health Services, Corp Clinical CurrentSince Jul 1, 2024 Accepting new patients
CPF SJN Outpatient, LLC Psychologist CurrentSince Apr 1, 2026 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

2930 Siena Heights Dr
Henderson, NV 89052
Phone (702) 726-2000

6655 S Tenaya Way
Ste 120
Las Vegas, NV 89113
Phone (702) 202-0820

6166 N Durango Dr
Las Vegas, NV 89149
Phone (702) 202-4534

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1396094967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "484-483-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S TENAYA WAY STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131934",
            "telephone_number": "484-483-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGER",
        "first_name": "TANISHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "deactivation_date": "2018-01-08",
        "reactivation_date": "2018-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.