Active NPI
James Durrough, BA
- Rehabilitation Psychologist
- North Las Vegas, NV
National Provider Identifier
1770997769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.