Individual provider Active NPI

Sylvia An Ross, PH.D.

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1902105067
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0566 Issued in NV
Practice address
7024 Pacific Coast St
Las Vegas, NV 89148-2824
Phone
(702) 496-5178
Fax
(888) 805-1547
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0566 NV Primary
Clinical Psychologist 103TC0700X 1203 HI

Addresses

Primary practice location

7024 Pacific Coast St
Las Vegas, NV 89148-2824

Mailing address

8285 W Arby Ave
Suite 165
Las Vegas, NV 89113-2235
Phone (702) 496-5178

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

LicenseStateTypeSpecialty
PY0566NVMDClinical Psychologist
1203HIMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1902105067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132235",
            "telephone_number": "702-496-5178",
            "fax_number": "888-805-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 PACIFIC COAST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482824",
            "telephone_number": "702-496-5178",
            "fax_number": "888-805-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SYLVIA",
        "middle_name": "AN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0566",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1203",
            "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 Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.