JESSICA Z KIRKLAND CALDWELL (NPI# 1336450857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336450857 |
| Entity Type | Individual |
| Full Name | JESSICA Z KIRKLAND CALDWELL |
| Other Name | JESSICA Z KIRKLAND |
| Credential | PH.D. |
| Practice Address |
888 W Bonneville Ave Las Vegas NV 89106-0100 |
| Practice Telephone | 7024836000 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 63010115638 | MI | Behavioral Health & Social Service Providers |
| Street Address |
888 W BONNEVILLE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147855 | Donna Munic-miller | Psychologist | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2006-01-06 |
| 1497383020 | Erin Zdenek | Psychiatry & Neurology | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2020-03-30 |
| 1710443163 | Christina Gerhardstein Wong | Clinical Neuropsychologist | 888 W Bonneville Ave, Las Vegas, NV 89106 | 2019-02-11 |
| 1851885149 | Madisen Elizabeth Mendez | Occupational Therapist | 888 W Bonneville Ave, Las Vegas, NV 89106 | 2018-06-19 |
| 1629583638 | Jenny Nguyen | Nurse Practitioner | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2017-12-13 |
| 1215460100 | Simrit Saraon | Nurse Practitioner | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2017-04-06 |
| 1386181782 | Kelly Papesh | Nurse Practitioner | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2017-01-23 |
| 1386000362 | Kathryn Conroy | Occupational Therapist | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2016-01-07 |
| 1285006932 | Lucille Carriere | Psychologist | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2015-10-21 |
| 1114398138 | Maileen Ulep-reed | Nurse Practitioner | 888 W Bonneville Ave, Las Vegas, NV 89106-0100 | 2015-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288553 | Board of Regents Nevada System of Higher Education | Clinical Neuropsychologist | 630 S. Rancho, Ste. A, Las Vegas, NV 89106 | 2016-08-03 |
| 1295288967 | Ivan Hronek | Clinical Neuropsychologist | 7341 W Charleston Blvd Ste 150, Las Vegas, NV 89117-1578 | 2016-07-29 |
| 1124387816 | Marisa Hendron | Clinical Neuropsychologist | 1820 E. Warm Springs Rd, Suite 115, Las Vegas, NV 89119-4680 | 2012-05-15 |
| 1780916130 | High Plains Neuropsychology Associates PC | Clinical Neuropsychologist | 1101 Douglas Ave, Las Vegas, NM 87701-3932 | 2010-02-10 |
| 1326373960 | Nicole Ann Cavenagh | Clinical Neuropsychologist | 3211 E Warm Springs Rd, Las Vegas, NV 89120-3157 | 2009-10-15 |
| 1992840789 | Marilyn J Strada | Clinical Neuropsychologist | 8565 S Eastern Ave Ste 152, Las Vegas, NV 89123-2906 | 2007-02-20 |
| 1932298023 | Staci Ross | Clinical Neuropsychologist | 716 S 6th St, Las Vegas, NV 89101-6922 | 2006-10-12 |
| 1023125325 | David Lee Hopper | Clinical Neuropsychologist | 4550 W Oakey Blvd, Suite # 106, Las Vegas, NV 89102-1581 | 2006-08-23 |
| 1326040148 | Gerald Lee Russell | Clinical Neuropsychologist | 713 6th St, Las Vegas, NM 87701-4359 | 2005-08-11 |
| 1710443163 | Christina Gerhardstein Wong | Clinical Neuropsychologist | 888 W Bonneville Ave, Las Vegas, NV 89106 | 2019-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.