Aadee H. Mizrachi, PLLC
Organization Active NPI Psychologist · Las Vegas, NV
NPI 1992389530 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1992389530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- AADEE H. MIZRACHI, PLLC
- Practice address
- 9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045 - Phone
- (725) 605-4310
- Fax
- (725) 605-4316
- NPI assigned
- May 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Aadee Mizrachi, PHD
- Title
- Owner/Licensed Psychologist
- Phone
- (702) 372-6910
Practitioners 1
-
Aadee Mizrachi, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250930004005 | NV | Part B Supplier - Clinic/Group Practice | 2668978594 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
Locations
916 Nevada Way
Ste 9
Boulder City, NV 89005
Phone (702) 908-0864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Psychologist |
103T00000X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045
Mailing address
9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045
Phone (725) 605-4310
Other practice location 1
916 Nevada Way Ste 9
Boulder City, NV 89005-2393
Phone (725) 605-4310
Other names
- Boulder Behavioral Health & Wellness
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2023. 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.