Active NPI
Marilyn Strada PHD LLC
- Clinical Neuropsychologist
- Las Vegas, NV
National Provider Identifier
1417456005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PYO811
- Legal business name
- MARILYN STRADA PHD LLC
- Practice address
- 8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906 - Phone
- (562) 274-8203
- Fax
- (562) 478-4575
- NPI assigned
- Feb 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marilyn Strada, PHD
- Title
- Psychologist
- Phone
- (702) 635-6555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PYO811 | NV | Primary |
| Psychologist | 103T00000X | PYO811 | NV | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PYO811 | NV |
Addresses
Primary practice location
8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906
Mailing address
8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906
Phone (702) 635-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8565 S Eastern Ave
Ste 152
Las Vegas, NV 89123
Phone (562) 274-8203
8565 S Eastern Ave
Ste 106
Las Vegas, NV 89123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Las Vegas, NV
- NPI 1992840789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522713600000",
"number": "1417456005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8565 S EASTERN AVE STE 152",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232906",
"telephone_number": "702-635-6555",
"fax_number": "562-478-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8565 S EASTERN AVE STE 152",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232906",
"telephone_number": "562-274-8203",
"fax_number": "562-478-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILYN STRADA PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2018-04-03",
"status": "A",
"authorized_official_last_name": "STRADA",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "702-635-6555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "NV",
"license": "PYO811",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NV",
"license": "PYO811",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NV",
"license": "PYO811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Erika Jade Marigliano, DPT
- Jay Marigliano
- Marigold Sunset Combined Healthcare Services
- Patricia Lou Marigundon
- Marilyn Lamascus, LCSW, LLC (Providence Behavioral Health Services, LLC)
- Carlos Raymond Marimon Rivero
- Natalia A. Marin Alzate
- Alejandra Esther Marin Argueta
- Paula K Marin Hernandez
- Lazaro Marin Kindelan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.