CYNTHIA BOLDEN (NPI# 1609298256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609298256 |
| Entity Type | Individual |
| Full Name | CYNTHIA BOLDEN |
| Practice Address |
1957 Susan St Las Vegas NV 89106-2654 |
| Practice Telephone | 7028122159 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025282 | Cynthia Mechele Bolden | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-03-05 |
| Street Address |
1957 SUSAN ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-2654 |
| 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 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184183758 | Keith J Davis | Psychologist | 8113 Crimson Creek Ct, Las Vegas, NV 89139-6909 | 2019-03-13 |
| 1902312184 | Rena Smith | Psychologist | 1344 N Jones Blvd, Las Vegas, NV 89108-1612 | 2017-12-24 |
| 1023533577 | Debra Denise Dear | Psychologist | 6347 W Eldorado Ln, Las Vegas, NV 89139-5316 | 2017-08-06 |
| 1407380850 | Karen Petty | Psychologist | 6628 Beacon Rd, Las Vegas, NV 89108-5390 | 2017-04-12 |
| 1730610890 | Cassandra Virgil | Psychologist | 4176 Mississippi Ave, Las Vegas, NV 89103-2799 | 2017-03-21 |
| 1518335678 | Marie Irving | Psychologist | 6732 Theus Cir, Las Vegas, NV 89107-3386 | 2015-09-07 |
| 1528477551 | Annette Guajardo | Psychologist | 10554 Corte Sierra St, Las Vegas, NV 89183-4655 | 2014-08-04 |
| 1124439500 | Larhonya Michelle Richards | Psychologist | 6328 Kell Ln, Las Vegas, NV 89156-7008 | 2014-05-19 |
| 1871914390 | Amy Soto | Psychologist | 4550 W Oakey Blvd Ste 111-q, Las Vegas, NV 89102-1581 | 2013-12-31 |
| 1427486570 | Tarazu | Psychologist | 4560 S Eastern Ave Ste 17, Las Vegas, NV 89119-6182 | 2013-10-29 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on CYNTHIA BOLDEN.
| 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.