Organization Active NPI

Diane Herbs, PHD LLC

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1740449347
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0351 Issued in NV
Legal business name
DIANE HERBS, PHD LLC
Practice address
8870 S Maryland Pkwy Ste 125
Las Vegas, NV 89123-4010
Phone
(702) 428-4083
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mrs. Diane Herbs, PHD
Title
Licensed Psychologists
Phone
(702) 428-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY0351 NV Primary

Addresses

Primary practice location

8870 S Maryland Pkwy Ste 125
Las Vegas, NV 89123-4010

Mailing address

4012 S Rainbow Blvd # K484
Las Vegas, NV 89103-2010
Phone (702) 428-4083

Other identifiers 1

IdentifierTypeStateIssuer
002602030MedicaidNV

National Provider Directory

National Provider Directory

Locations

4012 S Rainbow Blvd
#K484
Las Vegas, NV 89103

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1740449347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 S RAINBOW BLVD # K484",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032010",
            "telephone_number": "702-428-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 S MARYLAND PKWY STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234010",
            "telephone_number": "702-428-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HERBS, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HERBS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGISTS",
        "authorized_official_telephone_number": "702-428-4083",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602030",
            "state": "NV"
        }
    ],
    "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 Jun 9, 2008; 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.