Yanisley Felix Rosabal, NEUROFEEDBACK

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

Practice address

7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753

Phone

(702) 809-9339

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1396321535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LINN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104951",
            "telephone_number": "786-704-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172753",
            "telephone_number": "702-809-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSABAL",
        "first_name": "YANISLEY",
        "middle_name": "FELIX",
        "credential": "NEUROFEEDBACK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215589353",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mharris@thetherapeuticsolution.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7730 W Sahara Ave Ste 115",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891172753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelise Rosa
• Breanna Rosa
• Eyleen Rosa
• Merady Rosa
• Rita Rosa
• Carolena Rosado
• Danny Rosado
• Julia Rosado
• Maria Rosal
• Jose Rosales Cidre

• Other Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Other Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.