Overton Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0519 Issued in NV

Legal business name

OVERTON PSYCHOLOGICAL SERVICES, PLLC

Practice address

8975 S Pecos Rd
Suite 8D
Henderson, NV 89074-7160

Phone

(702) 563-1000

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jared Lee Overton, PSY.D.NPI 1194822577

Title

Owner

Phone

(702) 563-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Overton Psychological Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Overton Psychological Service

  • Point of Service
  • Henderson, NV
  • NPI 1235661406
  NPD tax ID
• Overton Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1295138964
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Lee Overton, PSY.D.

  • Clinical Psychologist
  • Overton, NV
  • NPI 1194822577
  Medicare reassignment Care Compare group Authorized official
• Michael R Thomas, M.S.

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1831514793
  Medicare reassignment Care Compare group NPD
• Melissa Anne Tillman, LMFT

  • Marriage & Family Therapist
  • Henderson, NV
  • NPI 1063788628
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1629499637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 S PECOS RD",
            "address_2": "SUITE 8D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747160",
            "telephone_number": "702-563-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 S PECOS RD",
            "address_2": "SUITE 8D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747160",
            "telephone_number": "702-563-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-563-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510224",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "V12869",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda J Overby, EDS, MS
• James T Overland Jr., DC
• Michael Henry Papica Overly, PT
• Overton Psychological Service
• Overton Psychological Services, PLLC
• Oweis Union Village Modern Dentistry, PC
• Sarah Samir Oweis, DMD
• Owens Psychological Services
• Camille Tina Owens
• Darwin Owens

• Clinical Psychologist in Henderson, NV
• Providers in Henderson, 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 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.