Devera Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0619 Issued in NV

Legal business name

DEVERA PSYCHOLOGICAL SERVICES

Doing business as

Aisha Devera

Practice address

555 California Ave
Boulder City, NV 89005-2757

Phone

(702) 293-5945

Fax

(702) 293-5168

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Berg

Title

Office Manager

Phone

(702) 296-5945

Specialties & licenses 1

Addresses

Other names 1

• Aisha Devera Doing business as

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1659642965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CALIFORNIA AVE",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052757",
            "telephone_number": "702-293-5945",
            "fax_number": "702-293-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CALIFORNIA AVE",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052757",
            "telephone_number": "702-293-5945",
            "fax_number": "702-293-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVERA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-296-5945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aisha Devera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicolle De Guzman
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• Psychologist in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.