Individual provider Active NPI

James Durrough, BA

  • Rehabilitation Psychologist
  • North Las Vegas, NV
National Provider Identifier
1770997769
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
717 El Cabo Rey Ave
North Las Vegas, NV 89081-3143
Phone
(702) 418-7217
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X Primary

Addresses

Primary practice location

717 El Cabo Rey Ave
North Las Vegas, NV 89081-3143

Mailing address

1009 Clay Ridge Rd
717 El Cabo Rey
North Las Vegas, NV 89031-1410
Phone (702) 418-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1770997769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CLAY RIDGE RD",
            "address_2": "717 EL CABO REY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311410",
            "telephone_number": "702-418-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 EL CABO REY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890813143",
            "telephone_number": "702-418-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURROUGH",
        "first_name": "JAMES",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 17, 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.