Individual provider Active NPI

Valerie C Modirpour, PHD

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1558738104
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0983 Issued in NV
Practice address
3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Phone
(702) 650-6508
Fax
(702) 920-8865
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0983 NV Primary

Addresses

Primary practice location

3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750

Mailing address

3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Phone (361) 549-2506

Other practice location 1

1124 International Blvd
Oakland, CA 94606-4331
Phone (510) 533-0800 ext. 230

Other practice location 2

9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Phone (702) 650-6508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, UT, WA, AL, TN, IN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20221206001246 NV Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 1 organization
I20230525001723 AZ Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 2 organizations
I20230525003304 UT Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 2 organizations
I20230526001214 WA Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 1 organization
I20230831004706 AL Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 1 organization
I20230908002143 TN Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 1 organization
I20231016001838 IN Practitioner - Clinical Psychologist 0042689598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0983NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Ca, P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

110 Front St
Jupiter, FL 33477
Phone (561) 839-9653

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

2300 W Sahara Ave
Las Vegas, NV 89102
Phone (702) 815-9012

240 N East Promontory
Farmington, UT 84025
Phone (385) 390-3579

240 N East Promontory
Ste 200
Farmington, UT 84025
Phone (801) 218-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1558738104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203750",
            "telephone_number": "361-549-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203750",
            "telephone_number": "702-650-6508",
            "fax_number": "702-920-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946064331",
            "country_code": "US",
            "telephone_number": "510-533-0800 x230",
            "fax_number": "510-533-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9183 W Flamingo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891476464",
            "country_code": "US",
            "telephone_number": "702-650-6508",
            "fax_number": "702-920-8865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODIRPOUR",
        "first_name": "VALERIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.