Jason A Kiss, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0906 Issued in NV

Practice address

6460 Medical Center St Ste 140
Las Vegas, NV 89148-2420

Phone

(702) 888-1340

Fax

(702) 888-1342

NPI assigned

Dec 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  NV, Psychologist

  Medicare reassignment Care Compare group NPD
• Boys Town Nevada, Inc.

  • Psychologist
  • Las Vegas, NV
  • NPI 1457806663
  NPD (past)
• Boys Town Nevada, Inc.

  • Psychologist
  • Las Vegas, NV
  • NPI 1720670573
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1578745154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482420",
            "telephone_number": "702-888-1340",
            "fax_number": "702-888-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482420",
            "telephone_number": "702-888-1340",
            "fax_number": "702-888-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISS",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kiserow
• Hussain Kishkish
• Kismet Recovery PLLC
• Anna Margarita Petilla Kison, RN
• Stacy Nicole Kisor
• Steven John Kiss, PA-C
• Tana Kissinger
• Ryan N Kissling, DC
• Jacob Paul Kissman, PT, DPT, CSCS
• Bradley Kiszer

• Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.