LISA A DURETTE MD PLLC (NPI# 1639727365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639727365 |
| Entity Type | Organization |
| Organization Name | LISA A DURETTE MD PLLC |
| Other Organization Name | HEALTHY MINDS |
| Practice Address |
526 S Tonopah Dr Las Vegas NV 89106-4043 |
| Mailing Address |
Po Box 82038 Las Vegas NV 89180-2038 |
| Practice Telephone | 7023599899 |
| Mailing Telephone | 7023599899 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | LISA DURETTE (OWNER) |
| Authorized Official Telephone | 7022342727 |
| Is Organization Subpart | Y |
| Parent Organization Name | LISA A DURETTE MD PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Healthy Minds | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
| 1669679205 | Lisa A Durette Md Pllc | Counselor | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2007-06-28 |
| 1558907907 | Lisa A Durette Md Pllc | Clinical Nurse Specialist | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2019-11-20 |
| Street Address |
526 S TONOPAH DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447999 | Joseph John Schifini | Anesthesiology | 526 S Tonopah Dr, Suite 160, Las Vegas, NV 89106-4043 | 2006-04-19 |
| 1285111492 | Stephanie Lizbeth Castillo-loeza | Social Worker | 526 S Tonopah Dr, Las Vegas, NV 89106-4043 | 2018-07-20 |
| 1316289556 | Eve S Chung | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2013-03-26 |
| 1831456136 | Shayna Km Gugino | Counselor | 526 S Tonopah Dr, Suite 160, Las Vegas, NV 89106-4043 | 2012-04-12 |
| 1861773509 | Saeideh Sadredini | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2011-09-08 |
| 1811284243 | Sulabh Shroff | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2011-07-06 |
| 1609170737 | Precision Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 526 S Tonopah Dr, Suite 120, Las Vegas, NV 89106-4043 | 2011-01-04 |
| 1669773065 | Kurt S Tingey | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2010-11-16 |
| 1821323205 | Alta Oral Surgery, LLC | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2009-10-02 |
| 1356583652 | Rodolfo D Barbosa | Dentist | 526 S Tonopah Dr, #200, Las Vegas, NV 89106-4043 | 2009-04-01 |
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| 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 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417582354 | Kathleen S. Mayers | Psychologist | 7854 W Sahara Ave, Las Vegas, NV 89117-1944 | 2020-03-11 |
| 1003466913 | Sigalit Yahav LLC | Psychologist | 8871 West Flamingo Road, Suite 202, Las Vegas, NV 89147-8729 | 2019-09-13 |
| 1659934636 | Legacy Psychological Services | Psychologist | 3651 Lindell Rd # D396, Las Vegas, NV 89103-1254 | 2019-04-16 |
| 1871087908 | Lee Center for Change | Psychologist | 3075 E Flamingo Rd Ste 118, Las Vegas, NV 89121-4300 | 2018-06-21 |
| 1518456029 | Danielle Ford-tarrance | Psychologist | 1137 Red Margin Ct Unit 103, Las Vegas, NV 89183-4955 | 2018-05-09 |
| 1902307242 | Mikaela Kurin Clark | Psychologist | 2110 Los Feliz St Unit 2072, Las Vegas, NV 89156-8026 | 2018-02-22 |
| 1134632359 | Karen M. Kampfer | Psychologist | 8475 S Eastern Ave Ste 205, Las Vegas, NV 89123-2863 | 2017-11-09 |
| 1407385354 | Abigail Banson | Psychologist | 1810 E Sahara Ave # 108, Las Vegas, NV 89104-3707 | 2017-06-05 |
| 1518341163 | Antrice Hronek | Psychologist | 5550 W Flamingo Rd Ste B1, Las Vegas, NV 89103-0136 | 2015-07-14 |
| 1023422250 | Rhiannon Rager | Psychologist | 2110 E Flamingo Rd Ste 317, Las Vegas, NV 89119-5193 | 2014-06-16 |
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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.