Active NPI
Judy Seymore, PSYD
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1902881709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- V36057
- Practice address
- 8240 W Charleston Blvd
#4
Las Vegas, NV 89117-9088 - Phone
- (702) 220-7633
- Fax
- (702) 240-8052
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | V36057 | NV | Primary |
Addresses
Primary practice location
8240 W Charleston Blvd
#4
Las Vegas, NV 89117-9088
Mailing address
PO Box 34330
Las Vegas, NV 89133-4330
Phone (702) 220-7633
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041005001205 | NV | Practitioner - Clinical Psychologist | 7911966072 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Oakland College of Medicine and Surgery, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8240 W Charleston Blvd
Suite 4
Las Vegas, NV 89117-9088
Phone (702) 220-7633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V36057 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902881709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34330",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891334330",
"telephone_number": "702-220-7633",
"fax_number": "702-240-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 W CHARLESTON BLVD",
"address_2": "#4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891179088",
"telephone_number": "702-220-7633",
"fax_number": "702-240-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMORE",
"first_name": "JUDY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "V36057",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.