Active NPI
Jeffrey Darrell Strain, PH.D.
- Psychologist
- Las Vegas, NV
National Provider Identifier
1841543352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0750
- Practice address
- 8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648 - Phone
- (702) 368-3599
- NPI assigned
- Oct 22, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 34303 | TX | |
| Forensic Psychologist | 103TF0200X | PY0750 | NV | |
| Psychologist | 103T00000X | PY0750 | NV | Primary |
| Psychologist | 103T00000X | 34303 | TX | |
| Counseling Psychologist | 103TC1900X | PY0750 | NV |
Addresses
Primary practice location
8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648
Mailing address
8440 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-7648
Phone (702) 368-3599
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0750 | NV | MD | Counseling Psychologist |
| 34303 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guava Psychological Centre LLC | Psychologist | Current | Accepting new patients |
Locations
8440 W Lake Mead Blvd
Ste 200
Las Vegas, NV 89128
Phone (702) 368-3599
Interoperability endpoints
- jeffrey.strain.1@30520.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Psychologist
- Las Vegas, NV
- NPI 1710504170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1841543352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "702-368-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "702-368-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAIN",
"first_name": "JEFFREY",
"middle_name": "DARRELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "34303",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NV",
"license": "PY0750",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0750",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34303",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NV",
"license": "PY0750",
"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 Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.