Michelle Gravley, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY0381 Issued in NV

Legal business name

MICHELLE GRAVLEY, P.C.

Practice address

2445 Fire Mesa St
Suite 190
Las Vegas, NV 89128-9014

Phone

(702) 212-3008

Fax

(702) 933-3064

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Gravley, PSY.D.

Title

Owner/President

Phone

(702) 212-3008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1639470743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST",
            "address_2": "SUITE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289014",
            "telephone_number": "702-212-3008",
            "fax_number": "702-933-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST",
            "address_2": "SUITE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289014",
            "telephone_number": "702-212-3008",
            "fax_number": "702-933-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE GRAVLEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAVLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-212-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "PY0381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602018",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michel
• Thelma Jean Michel
• Vivian Brianna Michel
• Michele Alisa Dilauro MD PC
• Charles Michell
• Michelle Lin D O Professional Limited Liability Company
• Michelle Toth
• Elizabeth Michelli
• Molly Michelman, R.D.
• Patricia Michelotti

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.