NV Psych Doc LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NV PSYCH DOC LLC

Practice address

2110 E Flamingo Rd Ste 321
Las Vegas, NV 89119-5190

Phone

(702) 308-5114

Fax

(702) 829-5403

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kriston Segura, PSYD

Title

Manager

Phone

(702) 308-5114

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1548875297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 321",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-308-5114",
            "fax_number": "702-829-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 321",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-308-5114",
            "fax_number": "702-829-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NV PSYCH DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "KRISTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-308-5114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.nvpsychdoc.com/default.html",
            "affiliation": "N",
            "endpointDescription": "business website address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2110 E Flamingo Rd Ste 321",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891195190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NV Healthcare LLC (NV Healthcare)
• NV Majestic Solutions LLC
• NV Medical Care, LLC
• NV Medical Consultants LLC
• NV Pacs 2 LLC
• NV Psych Doc LLC
• NV St DV MH DS Desert Dev Center
• NV St DV MH DS Desert Dev Center
• NV St DV MH DS Desert Dev Center
• NV St DV MH DS So NV Mr SVCS

• 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 Sep 10, 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.