NPIMap

Organization Active NPI

Nicole Ann Cavenagh, PHD, LLC

  • Clinical Child & Adolescent Psychologist
  • Las Vegas, NV
National Provider Identifier
1639822109
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
NICOLE ANN CAVENAGH, PHD, LLC
Practice address
3211 E Warm Springs Rd
Las Vegas, NV 89120-3157
Phone
(702) 912-5848
NPI assigned
Feb 3, 2022
Last updated
Sep 11, 2025By the provider in NPPES
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
Nicole Ann Cavenagh, PHDNPI 1326373960
Title
Licensed Psychologist/Practice Owne
Phone
(702) 912-5848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

3211 E Warm Springs Rd
Las Vegas, NV 89120-3157

Mailing address

3211 E Warm Springs Rd
Las Vegas, NV 89120-3157
Phone (702) 912-5848

National Provider Directory

National Provider Directory
Tax ID family
Nicole Ann Cavenagh PHD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3211 E Warm Springs Rd
Las Vegas, NV 89120
Phone (702) 912-5848

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639822109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203157",
            "telephone_number": "702-912-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203157",
            "telephone_number": "702-912-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE ANN CAVENAGH, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-09-11",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CAVENAGH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/PRACTICE OWNE",
        "authorized_official_telephone_number": "702-912-5848",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, 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.