Individual provider Active NPI

Marilyn J Strada, PH.D.

  • Clinical Neuropsychologist
  • Las Vegas, NV
National Provider Identifier
1992840789
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PYO811 Issued in NV
Practice address
8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906
Phone
(562) 274-8203
Fax
(562) 478-4575
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PYO811 NV
Cognitive & Behavioral Psychologist 103TB0200X PYO811 NV
Clinical Psychologist 103TC0700X PYO811 NV
Health Psychologist 103TH0004X PYO811 NV
Clinical Neuropsychologist 103G00000X PYO811 NV Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906

Mailing address

8565 S Eastern Ave Ste 152
Las Vegas, NV 89123-2906
Phone (702) 635-6555

Other practice location 1

8275 S Eastern Ave Ste 200-113
Las Vegas, NV 89123-2591
Phone (562) 274-8203

Other practice location 2

8275 S Eastern Ave Ste 200-113
Las Vegas, NV 89123-2591
Phone (562) 274-8203

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180321002539 NV Practitioner - Clinical Psychologist 9032257308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8565 S Eastern Ave
Suite 150
Las Vegas, NV 89123-2906
Phone (702) 635-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PYO811NVMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Strada PHD LLC Clinical Neuropsychologist CurrentSince Feb 12, 2018 Accepting new patients
Brain Health Specialists, LLC Clinical Neuropsychologist Current Accepting new patients

Locations

3037 E Warm Springs Rd
Ste 200
Las Vegas, NV 89120
Phone (702) 635-6555

8565 S Eastern Ave
Ste 152
Las Vegas, NV 89123
Phone (562) 274-8203

8565 S Eastern Ave
Ste 150
Las Vegas, NV 89123
Phone (702) 217-0820

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1992840789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 152",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "702-635-6555",
            "fax_number": "562-478-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 152",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "562-274-8203",
            "fax_number": "562-478-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8275 S Eastern Ave Ste 200-113",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232591",
            "country_code": "US",
            "telephone_number": "562-274-8203",
            "fax_number": "562-478-4575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8275 S Eastern Ave Ste 200-113",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232591",
            "country_code": "US",
            "telephone_number": "562-274-8203",
            "fax_number": "562-478-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRADA",
        "first_name": "MARILYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PYO811",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": "PYO811",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PYO811",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NV",
            "license": "PYO811",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "PYO811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.