Guevara Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0511 Issued in NV

Legal business name

GUEVARA PSYCHOLOGICAL SERVICES, LLC

Practice address

7221 W Charleston Blvd
Las Vegas, NV 89117-1580

Phone

(702) 212-3008

Fax

(702) 933-3064

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Amy F Guevara, PSY.D.

Title

Licensed Psychologist

Phone

(702) 212-3008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1740696830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171580",
            "telephone_number": "702-212-3008",
            "fax_number": "702-933-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171580",
            "telephone_number": "702-212-3008",
            "fax_number": "702-933-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUEVARA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-212-3008",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510273",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cira Guest
• Matia Guest, RN
• Rachel Guest, MD
• Kristoffer Gueta
• Madeleyne Guevara Gonzalez
• Nataly Guevara Velasco
• Magdalena Guevara-Fayad, PSY.D, LMFT, LCADC
• Adalberto R Guevara
• Amy Favero Guevara, PSY.D.
• Claudia Guevara

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.