Individual provider Active NPI

David Y. Brownstein, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1740691385
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0784 Issued in NV
Practice address
8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Phone
(702) 403-0745
NPI assigned
May 16, 2014
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0784 NV Primary

Addresses

Primary practice location

8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674

Mailing address

8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Phone (702) 403-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504002929 NV Practitioner - Clinical Psychologist 1254555931 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8430 W Lake Mead Blvd
Suite 100
Las Vegas, NV 89128-7674
Phone (702) 403-0745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0784NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lifeology Center PLLC CurrentSince Apr 10, 2021 Accepting new patients

Locations

8430 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89128
Phone (702) 576-9870

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1740691385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-403-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-403-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSTEIN",
        "first_name": "DAVID",
        "middle_name": "Y.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.