Organization Active NPI

Nevada Psychotherapy Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1962011049
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEVADA PSYCHOTHERAPY PRACTICE LLC
Practice address
8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701
Phone
(775) 772-9017
Fax
(775) 313-9773
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Trudy None Gilbert-Eliot, PHDNPI 1184700403
Title
Managing Director
Phone
(775) 772-9017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701

Mailing address

8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701
Phone (775) 772-9017

Other names 1

  • Nevada Psychotherapy Practice Doing business as

National Provider Directory

National Provider Directory

Locations

8766 S Maryland Pkwy
Ste 105
Las Vegas, NV 89123
Phone (775) 772-9017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1962011049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "775-772-9017",
            "fax_number": "775-313-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "775-772-9017",
            "fax_number": "775-313-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PSYCHOTHERAPY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT-ELIOT",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "775-772-9017",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Psychotherapy Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 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.

Verify at the official NPI Registry.