Active NPI
Julia Marie Maranville, PSYCHOLOGY STUDENT
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1407532369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6460 Medical Center St Ste 140
Las Vegas, NV 89148-2406 - Phone
- (702) 888-1340
- Fax
- (702) 888-1342
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6460 Medical Center St Ste 140
Las Vegas, NV 89148-2406
Mailing address
6460 Medical Center St Ste 140
Las Vegas, NV 89148-2406
Phone (702) 888-1340
Other practice location 1
8390 W Windmill Lane Ste 102 & 103
Las Vegas, NV 89113
Phone (702) 888-1340
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boys Town Nevada, Inc. | Current | Accepting new patients | |
| Boys Town Nevada, Inc. | Current | Accepting new patients |
Locations
6460 Medical Center St
Ste 140
Las Vegas, NV 89148
Phone (702) 888-1340
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 and National Provider Directory roles.
-
- Psychologist
- Las Vegas, NV
- NPI 1457806663
-
- Psychologist
- Las Vegas, NV
- NPI 1720670573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1407532369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 MEDICAL CENTER ST STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482406",
"telephone_number": "702-888-1340",
"fax_number": "702-888-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6460 MEDICAL CENTER ST STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482406",
"telephone_number": "702-888-1340",
"fax_number": "702-888-1342"
}
],
"practiceLocations": [
{
"address_1": "8390 W Windmill Lane Ste 102 & 103",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89113",
"country_code": "US",
"telephone_number": "702-888-1340",
"fax_number": "702-888-1342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARANVILLE",
"first_name": "JULIA",
"middle_name": "MARIE",
"credential": "PSYCHOLOGY STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.