Michelle Clarise Berumen, JD, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3067 E Warm Springs Rd
Las Vegas, NV 89120-3749

Phone

(702) 650-6508

Fax

(702) 920-8865

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Doctor of Philosophy

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1821664194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203749",
            "telephone_number": "702-650-6508",
            "fax_number": "702-920-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203749",
            "telephone_number": "702-650-6508",
            "fax_number": "702-920-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUMEN",
        "first_name": "MICHELLE",
        "middle_name": "CLARISE",
        "name_prefix": "Dr.",
        "credential": "JD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drberumen@desertpsychnv.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3067 E Warm Springs Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Berumen Baker, PT, DPT
• Manuel Berumen-Vargas
• Ana Berumen
• Angelica Berumen
• Gabina Berumen
• Wonda Berumen
• Berur Professional LLC
• Beryl Behavioral LLC
• Youssef Beshay
• Alexis Nicole Beshears, CF-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.