Active NPI
Amy Soto
- Rehabilitation Psychologist
- Las Vegas, NV
National Provider Identifier
1871914390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 172V00000X
- Practice address
- 4550 W Oakey Blvd Ste 111-Q
Las Vegas, NV 89102-1581 - Phone
- (702) 968-9372
- Fax
- (702) 932-3189
- NPI assigned
- Dec 31, 2013
- Last updated
- Dec 31, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 172V00000X | NV | Primary |
Addresses
Primary practice location
4550 W Oakey Blvd Ste 111-Q
Las Vegas, NV 89102-1581
Mailing address
112 Bel Port Dr
Las Vegas, NV 89110-4812
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 |
|---|---|---|---|
| 172V00000X | NV | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1871914390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BEL PORT DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891104812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 W OAKEY BLVD STE 111-Q",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021581",
"telephone_number": "702-968-9372",
"fax_number": "702-932-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NV",
"license": "172V00000X",
"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 Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.