Individual provider Active NPI

Shelley Kara Sendak, PHD

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1780104158
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M10692 Issued in NV
Practice address
2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698
Phone
(702) 363-7284
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M10692 NV Primary

Addresses

Primary practice location

2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698

Mailing address

1696 Ravanusa Dr
Henderson, NV 89052-3103
Phone (702) 997-2070

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
M10692NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1780104158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 RAVANUSA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523103",
            "telephone_number": "702-997-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698",
            "telephone_number": "702-363-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDAK",
        "first_name": "SHELLEY",
        "middle_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M10692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.