DR. MICHELLE HUMM


Address: 1701 W Charleston Blvd, 300, Las Vegas, NV 89102-2325
Phone: 3039471454

DR. MICHELLE HUMM (NPI# 1538320148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538320148
Entity Type Individual
Full Name DR. MICHELLE HUMM
Credential PHD
Practice Address 1701 W Charleston Blvd
300
Las Vegas
NV 89102-2325
Mailing Address 1001 Sir James Bridge Way
Las Vegas
NV 89145-8666
Practice Telephone 3039471454
Enumeration Date 2008-06-17
Last Update Date 2011-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PY0622 NV Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PY0622 NV Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
PY0622 NV Behavioral Health & Social Service Providers

Office Location

Street Address 1701 W CHARLESTON BLVD
300
City LAS VEGAS
State NV
Zip Code 89102-2325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184601239 University of Nv School of Medicine Multi Specialty Group Practice So Pediatrics 1701 W Charleston Blvd, #110, Las Vegas, NV 89102-2325 2005-12-29
1285193375 Robert M Mercer Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 2019-03-18
1407343155 Hui Feng Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 2018-04-18
1497250658 Matthew Scott Carrea General Practice 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 2018-03-28
1558897884 Mjd, LLC Dentist 1701 W Charleston Blvd, 520, Las Vegas, NV 89102-2325 2017-05-05
1902332398 Mariam Al-hamad Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 2017-05-04
1942735808 Tyler Paul Heeren Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, Suite 230, Las Vegas, NV 89102-2325 2017-04-27
1649704172 Christian Nicholas Chan Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 2017-04-11
1164955993 Manvinder Singh Kumar Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, #490, Las Vegas, NV 89102-2325 2017-04-08
1376076232 Katherine Rief Student in an Organized Health Care Education/Training Program 1701 W Charleston Blvd, #230, Las Vegas, NV 89102-2325 2017-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851998397 Natasha Moore Technician 3210 W Charleston Suite 2, Las Vegas, NV 89102 2020-10-07
1568077113 Zulma Yaneth Tervizo Lopez Technician 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 2020-09-10
1922629765 Bianca Vaudreuil Religious Nonmedical Practitioner 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-05-04
1720608052 Angelica Gutierrez Technician Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City LAS VEGAS
Zip Code 89102

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Dataset Information

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.

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