Active NPI
Nathan A. Harris, PSYD
- Clinical Neuropsychologist
- Las Vegas, NV
National Provider Identifier
1831754050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY1210
- Practice address
- 2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145 - Phone
- (702) 432-2233
- Fax
- (702) 800-5456
- NPI assigned
- May 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5009 | AZ | |
| Clinical Neuropsychologist | 103G00000X | PY1210 | NV | Primary |
| Clinical Neuropsychologist | 103G00000X | PSY-005009 | AZ |
Addresses
Primary practice location
2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145
Mailing address
1930 Village Center Cir Ste 3-717
Las Vegas, NV 89134-6299
Phone (702) 432-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241025003364 | NV | Practitioner - Clinical Psychologist | 4789017062 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Janda Mahajan and Balsiger PLLC
Practice addresses (Care Compare)
2020 Wellness Way
Suite 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1210 | NV | MD | Clinical Neuropsychologist |
| 5009 | AZ | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janda, Mahajan & Balsiger PLLC | Current | Accepting new patients | |
| Janda, Mahajan & Balsiger PLLC | Past | Accepting new patients |
Locations
2020 Wellness Way
Ste 300
Las Vegas, NV 89106
Phone (702) 477-7000
1930 Village Center Cir
Ste 3717
Las Vegas, NV 89134
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Las Vegas, NV
- NPI 1134075161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1831754050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 VILLAGE CENTER CIR STE 3-717",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346299",
"telephone_number": "702-432-2233",
"fax_number": "702-800-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 WELLNESS WAY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064145",
"telephone_number": "702-432-2233",
"fax_number": "702-800-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NATHAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "5009",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NV",
"license": "PY1210",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "PSY-005009",
"primary": false
}
],
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.