Active NPI
Michelle Humm, PHD
- Clinical Neuropsychologist
- Las Vegas, NV
National Provider Identifier
1538320148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY0622
- Practice address
- 1701 W Charleston Blvd
300
Las Vegas, NV 89102-2325 - Phone
- (303) 947-1454
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY0622 | NV | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY0622 | NV | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PY0622 | NV |
Addresses
Primary practice location
1701 W Charleston Blvd
300
Las Vegas, NV 89102-2325
Mailing address
1001 Sir James Bridge Way
Las Vegas, NV 89145-8666
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0622 | NV | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Neurological and Neurodevelopmental Health, LLC | Past | Accepting new patients | |
| Dragonfly Health Turnersville | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Turnersville, NJ
- NPI 1477196707
-
- Neurology Physician
- Voorhees, NJ
- NPI 1962682989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1538320148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SIR JAMES BRIDGE WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "303-947-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMM",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NV",
"license": "PY0622",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NV",
"license": "PY0622",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NV",
"license": "PY0622",
"primary": false
}
],
"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 May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.