Southern Nevada Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUTHERN NEVADA PSYCHOLOGICAL SERVICES

Practice address

2770 S. Maryland Pkwy Ste. 105
Las Vegas, NV 89109-1568

Phone

(702) 483-8017

Fax

(702) 202-0923

NPI assigned

May 28, 2019

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marshall MorrowNPI 1659828945

Title

Partner

Phone

(702) 483-8017

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marshall Morrow

  • Neonatal/Pediatric Certified Respiratory Therapist
  • Las Vegas, NV
  • NPI 1659828945
  NPD Authorized official
• Jocelyn Sonsona, PHD

  • Health Psychologist
  • Las Vegas, NV
  • NPI 1982234837
  NPD
• Ben G. Adams, PHD

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1508259326
  NPD (past)
• Amy J Song, MSW, LICSW

  • Clinical Social Worker
  • Nellis AFB, NV
  • NPI 1134416324
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1467019125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091564",
            "telephone_number": "702-483-0817",
            "fax_number": "702-202-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S. MARYLAND PKWY STE. 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091568",
            "telephone_number": "702-483-8017",
            "fax_number": "702-202-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-483-8017"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467019125",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marty@snvpsyc.com",
            "affiliation": "N",
            "address_1": "2770 S. Maryland Pkwy Ste. 105",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891091568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern Nevada Oxygen, Inc.
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• Southern Nevada Pediatric Center (Zulich), PLLC
• Southern Nevada Physicians
• Southern Nevada Physicians LLP
• Southern Nevada Sleep Clinic LLC (Southern Nevada Sleep Center)
• Southern Nevada Specialty Prada, PLLC (Absolute Dental & Orthodontics)
• Southern Nevada Speech and Language Services
• Southern Nevada Training Center LLC
• Southern Nevada Veteran Association

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.