NPIMap

Organization Active NPI

Associated Neuro & Psychological Specialties

  • Psychologist
  • Henderson, NV
National Provider Identifier
1619042181
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
307C Issued in NV
Legal business name
ASSOCIATED NEURO & PSYCHOLOGICAL SPECIALTIES
Practice address
1701 N Green Valley Pkwy
Suite 2-a
Henderson, NV 89074-5885
Phone
(702) 650-0590
Fax
(702) 650-0591
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Lynn Sheridan Porter, PHD LCSW
Title
Ceo
Phone
(702) 650-0590

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 307C NV
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 307C NV
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 307C NV Primary

Addresses

Primary practice location

1701 N Green Valley Pkwy
Suite 2-a
Henderson, NV 89074-5885

Mailing address

1701 N Green Valley Pkwy
Suite 2-a
Henderson, NV 89074-5885
Phone (702) 650-0590

National Provider Directory

National Provider Directory

Locations

1701 N Green Valley Pkwy
Ste 2A
Henderson, NV 89074
Phone (702) 650-0590

Practitioners & affiliated clinicians

Practitioners 10

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619042181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "SUITE 2-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-650-0590",
            "fax_number": "702-650-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "SUITE 2-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-650-0590",
            "fax_number": "702-650-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED NEURO & PSYCHOLOGICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "SHERIDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-650-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD  LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "307C",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "307C",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "307C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.