| Overton Psychological Services, Pllc | |
|
8975 S Pecos Rd Suite 8d Henderson NV 89074-7160 | |
| (702) 563-1000 | |
| Not Available |
| Full Name | Overton Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8975 S Pecos Rd, Henderson, Nevada |
| Authorized Official Name and Position | Jared Lee Overton (OWNER) |
| Authorized Official Contact | 7025631000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overton Psychological Services, Pllc 8975 S Pecos Rd Suite 8d Henderson NV 89074-7160 Ph: (702) 563-1000 | Overton Psychological Services, Pllc 8975 S Pecos Rd Suite 8d Henderson NV 89074-7160 Ph: (702) 563-1000 |
| NPI Number | 1629499637 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 6406089614 |
|---|---|
| Medicare Enrollment ID | O20140423001714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629499637 | NPI | - | NPPES |
| 100510224 | Medicaid | NV | |
| V12869 | Other | NV | MEDICARE - PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0519 (Nevada) | Primary |
| Provider Name | Jared L Overton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194822577 PECOS PAC ID: 7214936913 Enrollment ID: I20061206000488 |
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