Active NPI
Geovany Lopez
- Addiction (Substance Use Disorder) Psychologist
- Las Vegas, NV
National Provider Identifier
1821903923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 08350-I
- Practice address
- 3675 Pecos-McLeod Interconnect #100
Las Vegas, NV 89121 - Phone
- (702) 986-9695
- NPI assigned
- Aug 14, 2026
- Last updated
- Aug 14, 2026
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 08350-I | NV | Primary |
Addresses
Primary practice location
3675 Pecos-McLeod Interconnect #100
Las Vegas, NV 89121
Mailing address
8920 Perfect Diamond CT
Las Vegas, NV 89129-7082
Phone (323) 354-1009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1821903923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 PERFECT DIAMOND CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297082",
"telephone_number": "323-354-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 PECOS-MCLEOD INTERCONNECT #100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121",
"telephone_number": "702-986-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GEOVANY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "08350-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.