Shane Winfield Kraus, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020829 Issued in NY

Practice address

Unlv Practice Clinic
Ceb 226, 4505 S. Maryland Parkway
Las Vegas, NV 89154

Phone

(702) 895-1532

NPI assigned

Oct 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1508236498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NEVADA, LAS VEGAS,",
            "address_2": "4505 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89154",
            "telephone_number": "702-895-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNLV PRACTICE CLINIC",
            "address_2": "CEB 226, 4505 S. MARYLAND PARKWAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89154",
            "telephone_number": "702-895-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "SHANE",
        "middle_name": "WINFIELD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY-0907",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas J Krasniewski, MPT
• Bryce Krason, DO
• Irena Krass, A-GNP-C
• Razmig Garo Kratlian, MD
• Daniel Robert Krauchuk, D.O.
• Jennifer Nicole Krause, M.S.
• Lisa Krause
• Maria Adela Krause
• Kyle Kravetz, MD
• Kreative Steps Behavioral Health

• 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 20, 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.