Organization Active NPI

Guava Psychological Centre LLC

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1710504170
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GUAVA PSYCHOLOGICAL CENTRE LLC
Practice address
8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648
Phone
(702) 368-3599
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Jeffrey Darrell Strain, PH.D.NPI 1841543352
Title
Owner/Psychologist
Phone
(702) 368-3599

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648
Phone (702) 368-3599

Other names 1

  • Guava Psychological Centre Doing business as

National Provider Directory

National Provider Directory

Locations

8440 W Lake Mead Blvd
Ste 200
Las Vegas, NV 89128
Phone (702) 368-3599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1710504170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-368-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-368-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAVA PSYCHOLOGICAL CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-368-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guava Psychological Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2020; 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.