Ibironke Mercy Alaga, M.D

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

NV20121010903 Issued in NV

Practice address

1810 E Sahara Ave
Las Vegas, NV 89104-3707

Phone

(702) 727-3902

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1710439211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "702-727-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "702-727-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAGA",
        "first_name": "IBIRONKE",
        "middle_name": "MERCY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": "NV20121010903",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NV",
            "license": "NV20121010903",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "NV20121010903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982156410",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Alaan
• Edward Alabanza
• Olukunle Alabi, PHARM D.
• Zahraa Aladilee
• Angeline Marie Domingo Alag
• Olusoga Alaga
• Alagacare,LLC
• Alagacare,LLC
• Alagacare,LLC
• Alagacare,LLC

• Group Psychotherapy Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Group Psychotherapy Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.