Organization Active NPI

Allied Psychological Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1740653690
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY0760 Issued in NV
Legal business name
ALLIED PSYCHOLOGICAL SERVICES LLC
Practice address
4270 S. Decatur Blvd.
Suite a-10a
Las Vegas, NV 89103
Phone
(702) 912-5559
Fax
(702) 912-5536
NPI assigned
Nov 1, 2015
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Brian D. Norensberg, DR.NPI 1033378377
Title
Licensed Clinical Psychologist
Phone
(702) 912-5559

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
Community/Behavioral Health Agency 251S00000X PY0760 NV Primary

Addresses

Primary practice location

4270 S. Decatur Blvd.
Suite a-10a
Las Vegas, NV 89103

Mailing address

4270 S. Decatur Blvd.
Suite a-10a
Las Vegas, NV 89103
Phone (702) 912-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201002912 NV Part B Supplier - Clinic/Group Practice 7416257159 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3245 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 228-4900

4270 S Decatur Blvd
Ste A10A
Las Vegas, NV 89103
Phone (702) 912-5559

Practitioners & affiliated clinicians

Practitioners 4

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": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1740653690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 S. DECATUR BLVD.",
            "address_2": "SUITE A-10A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-912-5559",
            "fax_number": "702-912-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 S. DECATUR BLVD.",
            "address_2": "SUITE A-10A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-912-5559",
            "fax_number": "702-912-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "NORENSBERG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-912-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "PY0760",
            "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 Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.