David J Ventrelle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY1072 Issued in NV

Practice address

3321 N Buffalo Dr Ste 225
Las Vegas, NV 89129-6678

Phone

(702) 816-0226

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Fundamental Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1699158600
  Medicare reassignment NPD
• Legacy Behavioral Health Solutions, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1548614514
  Medicare reassignment NPD
• Legacy Health and Wellness, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1457600645
  Medicare reassignment NPD
• Legacy Health and Wellness, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
  • NPI 1003507500
  NPD
• Eugene Rosenman MD Professional Corporation

  • Adult Mental Health Clinic/Center
  • Anaheim, CA
  • NPI 1992588313
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1639342140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N BUFFALO DR STE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296678",
            "telephone_number": "702-816-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 N BUFFALO DR STE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296678",
            "telephone_number": "702-816-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRELLE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007263",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Orlando Vento Gonzalez
• Cintya Eugenia Vento Sanchez, RN
• Laura Vento
• Lisset M Vento
• Dama Ventouris
• Monique Ventress
• Anna Marie Ventriglia
• Catia Nicole Ventura Damitio
• Ventura Home Care Inc
• Erika Ventura Sierra

• 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 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.