DR. JAMES MICHAEL KAVANAUGH (NPI# 1497857338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497857338 |
Entity Type | Individual |
Full Name | DR. JAMES MICHAEL KAVANAUGH |
Practice Address |
713 6th St Las Vegas NM 87701-4359 |
Mailing Address |
Po Box 867 Tesuque NM 87574-0867 |
Practice Telephone | 5059950635 |
Mailing Telephone | 5059959698 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
537 | NM | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 44683553 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932283991 | James Douglas Kavanaugh | Dentist | 85 S Maple Ave, Basking Ridge, NJ 07920-1230 | 2006-10-25 |
1154412344 | James G Kavanaugh Jr. | Psychiatry & Neurology | 2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121 | 2006-09-27 |
Street Address |
713 6TH ST |
City | LAS VEGAS |
State | NM |
Zip Code | 87701-4359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326040148 | Gerald Lee Russell | Clinical Neuropsychologist | 713 6th St, Las Vegas, NM 87701-4359 | 2005-08-11 |
1922166651 | Mignon Elisse Mcnicol | Social Worker | 713 6th St, Las Vegas, NM 87701 | 2006-12-05 |
1639245913 | Brian Christopher Partridge | Counselor | 713 6th St, Office #2, Las Vegas, NM 87701-4359 | 2006-11-28 |
1659381036 | Judy Long | Social Worker | 713 6th St, Las Vegas, NM 87701-4359 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
Find all providers in zip 87701 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
1609358472 | Helping Heart LLC | Psychologist | 2855 W Pebble Rd Unit 303, Las Vegas, NV 89123-6504 | 2018-08-29 |
1285148890 | Amanda Devillez | Psychologist | 5550 W Flamingo Rd Ste B, Las Vegas, NV 89103-2334 | 2017-11-20 |
1699169318 | Rosalie Adriano | Psychologist | 7761 Tattersall Flag St, Las Vegas, NV 89139-6406 | 2015-03-19 |
1538566377 | Jennifer D Karmely Ph D, Pllc | Psychologist | 3196 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2315 | 2014-11-21 |
1740610278 | Brian Potts | Psychologist | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2013-11-19 |
1417200262 | Stephanie A Stowman, Phd | Psychologist | 4055 Spencer St, Suite 126, Las Vegas, NV 89119-9303 | 2012-10-17 |
Find all providers in LAS VEGAS |
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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.