Organization Active NPI

Myra Thompson, PSYD, LLC

Doing business as Mindful Living Counseling & Counsulting Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1518317759
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY0739 Issued in NV
Legal business name
MYRA THOMPSON, PSYD, LLC
Doing business as
Mindful Living Counseling & Counsulting Services
Practice address
6069 S Fort Apache Rd
#100
Las Vegas, NV 89148-5647
Phone
(702) 444-1373
NPI assigned
Jun 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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

Authorized official

Name
Dr. Myra Thompson, PSY.D.NPI 1720393382
Title
Owner
Phone
(702) 444-1373

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY0739 NV
Community/Behavioral Health Agency 251S00000X PY0739 NV Primary

Addresses

Primary practice location

6069 S Fort Apache Rd
#100
Las Vegas, NV 89148-5647

Mailing address

PO Box 400755
Las Vegas, NV 89140-0755

Other names 1

  • Mindful Living Counseling & Counsulting Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476489600000",
    "number": "1518317759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400755",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 S FORT APACHE RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485647",
            "telephone_number": "702-444-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRA THOMPSON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-10-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-444-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0739",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "PY0739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Living Counseling & Counsulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2016; 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.