| Psychology Institute Of Las Vegas Pllc | |
|
2451 S Buffalo Dr Ste 120 Las Vegas NV 89117-2749 | |
| (702) 546-9600 | |
| Not Available |
| Full Name | Psychology Institute Of Las Vegas Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2451 S Buffalo Dr Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Danielle Moreggi (OWNER) |
| Authorized Official Contact | 7025469600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Institute Of Las Vegas Pllc 2451 S Buffalo Dr Ste 120 Las Vegas NV 89117-2749 Ph: (702) 546-9600 | Psychology Institute Of Las Vegas Pllc 2451 S Buffalo Dr Ste 120 Las Vegas NV 89117-2749 Ph: (702) 546-9600 |
| NPI Number | 1285269100 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 9537599071 |
|---|---|
| Medicare Enrollment ID | O20200423001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285269100 | NPI | - | NPPES |
| 1215147673 | Medicaid | NV | |
| 1215147673 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | David Walter Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134341886 PECOS PAC ID: 4183614878 Enrollment ID: I20170705000678 |
| Provider Name | Danielle I Moreggi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215147673 PECOS PAC ID: 5092063206 Enrollment ID: I20180803002644 |
| Provider Name | Vivian Stovall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801330626 PECOS PAC ID: 2668759234 Enrollment ID: I20190608000046 |
| Provider Name | Nicole Silk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568852523 PECOS PAC ID: 3274829783 Enrollment ID: I20190612001077 |
| Provider Name | Erica J Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154638971 PECOS PAC ID: 7315374915 Enrollment ID: I20200220001019 |
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