Active NPI
Isaac David Jr., PSYCHOLOGIST
- Psychologist
- Las Vegas, NV
National Provider Identifier
1851731038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NA
- Practice address
- 3139 S Eastern Ave
Las Vegas, NV 89169-3308 - Phone
- (702) 802-5311
- Fax
- (702) 802-5311
- NPI assigned
- Jul 2, 2013
- Last updated
- Dec 23, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | A/N | NV | |
| Psychologist | 103T00000X | NA | NV | Primary |
| Clinical Psychologist | 103TC0700X | NA | NV | |
| Counseling Psychologist | 103TC1900X | NA | NV |
Addresses
Primary practice location
3139 S Eastern Ave
Las Vegas, NV 89169-3308
Mailing address
PO Box 621637
Las Vegas, NV 89162-1637
Phone (702) 300-2682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851731038 | Medicaid | NV |
Other names 1
- Dr. Isaac David Jr.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A/N | NV | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1851731038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621637",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891621637",
"telephone_number": "702-300-2682",
"fax_number": "702-802-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3139 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693308",
"telephone_number": "702-802-5311",
"fax_number": "702-802-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2024-12-23",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NV",
"license": "A/N",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "NA",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "NA",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NV",
"license": "NA",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851731038",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISAAC",
"last_name": "DAVID",
"prefix": "DR.",
"suffix": "JR.",
"credential": "DOCTOR",
"code": "5",
"type": "Other Name"
}
]
}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 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.