Individual provider Active NPI

Nathan A. Harris, PSYD

  • Clinical Neuropsychologist
  • Las Vegas, NV
National Provider Identifier
1831754050
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY1210 Issued in NV
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

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 7315257797, 32 clinicians

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

LicenseStateTypeSpecialty
PY1210NVMDClinical Neuropsychologist
5009AZMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janda, Mahajan & Balsiger PLLC CurrentSince Dec 1, 2024 Accepting new patients
Janda, Mahajan & Balsiger PLLC PastSince Dec 8, 2024 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.

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

Verify at the official NPI Registry.