Comprehensive Psychological Services LLC
Organization Active NPI Clinical Psychologist · Henderson, NV
NPI 1972795680 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1972795680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY0527 (NV)
- Legal business name
- COMPREHENSIVE PSYCHOLOGICAL SERVICES LLC
- Practice address
- 1335 Bayleaf Terrace Ave
Henderson, NV 89014-8867 - Phone
- (702) 339-6890
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Linda V Frantom, PH.D.
- Title
- Owner/Managing Member
- Phone
- (702) 339-6890
Practitioners 7
-
Linda V Frantom, PH.D.
-
Jennifer Antonucci, LMFT
-
Judi Davis, MFT
-
Jeffrey J Laspina, M.A.
-
Mark Whelchel, MFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071023000126 | NV | Part B Supplier - Clinic/Group Practice | 1254427248 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PY0527 | NV | Yes |
Addresses
Primary practice location
1335 Bayleaf Terrace Ave
Henderson, NV 89014-8867
Mailing address
2740 S Jones Blvd
Las Vegas, NV 89146-5306
Phone (702) 248-8866
Other providers in Henderson, NV
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- Comprehensive Hearing Center of Las Vegas
- Comprehensive Medical Center
- Comprehensive Therapy Centers, LLC
- Comprehensive Therapy Centers, LLC
- Courtney Compton
- Nancy Brinda Compton
- Patrice Compton
All providers in Henderson, NV · Clinical Psychologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.