Individual provider Active NPI

Jenice Sheran

  • Psychoanalyst
  • North Las Vegas, NV
National Provider Identifier
1811529514
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Practice address
3435 W Craig Rd Ste a
North Las Vegas, NV 89032-5116
Phone
(702) 675-6314
NPI assigned
Feb 10, 2020
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

3435 W Craig Rd Ste a
North Las Vegas, NV 89032-5116

Mailing address

3435 W Craig Rd Ste a
North Las Vegas, NV 89032-5116
Phone (702) 675-6314

Other practice location 1

1515 E Tropicana Ave Ste 375
Las Vegas, NV 89119-6520
Phone (702) 909-8900

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada's Children & Family Development Center LLC Behavior Analyst PastSince Feb 1, 2020 Accepting new patients

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1811529514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W CRAIG RD STE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-675-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W CRAIG RD STE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-675-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Tropicana Ave Ste 375",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196520",
            "country_code": "US",
            "telephone_number": "702-909-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERAN",
        "first_name": "JENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 3, 2023; 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.