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