GROVER BERRY III (NPI# 1578971065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578971065 |
| Entity Type | Individual |
| Full Name | GROVER BERRY III |
| Credential | AA MANAGEMENT |
| Practice Address |
3660 N Rancho Dr Ste 113 Las Vegas NV 89130-3188 |
| Mailing Address |
3360 N Rancho Dr. Ste.113 Las Vegas NV 89130 |
| Practice Telephone | 7029822928 |
| Mailing Telephone | 7029822928 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | NV | Behavioral Health & Social Service Providers |
| Street Address |
3660 N RANCHO DR STE 113 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497163315 | Maresia Rene Malone | Behavioral Analyst | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2014-07-23 |
| 1417431529 | Integrated Life Management Services | Case Management | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2018-09-25 |
| 1063998482 | Ernestine E Williams | Behavioral Analyst | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2018-07-18 |
| 1093241549 | Michael Mazzone | Behavioral Analyst | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2017-05-03 |
| 1235512161 | Maria Moore | Case Manager/Care Coordinator | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2015-07-09 |
| 1578946505 | Dianne Lucio | Case Manager/Care Coordinator | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2015-07-08 |
| 1528441532 | Patricia Elizabeth Ozuna | Case Manager/Care Coordinator | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2015-07-08 |
| 1225438393 | A New Day Adult Daycare and Outpatient Treatment Center,llc | Community Health Worker | 3660 N Rancho Dr Ste 113, Las Vegas, NV 89130-3188 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| 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.