DR. RANDALL JAMES STILES (NPI# 1730251364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730251364 |
Entity Type | Individual |
Full Name | DR. RANDALL JAMES STILES |
Credential | PH.D. |
Practice Address |
522 E Lake Mead Pkwy Ste 5 Henderson NV 89015-5573 |
Mailing Address |
1904 April Mist St Henderson NV 89015-8681 |
Practice Telephone | 7024866722 |
Practice Fax Number | 7024866741 |
Mailing Telephone | 7025651496 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0307 | NV | Behavioral Health & Social Service Providers |
Street Address |
522 E LAKE MEAD PKWY STE 5 |
City | HENDERSON |
State | NV |
Zip Code | 89015-5573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740350859 | Lorraine Annette Tolbert Butler | Counselor | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2006-11-08 |
1093189326 | University of Nevada School of Medicine Multispecialty Group Practice | Counselor | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2015-11-24 |
1275918161 | Alissa Lucke | Case Manager/Care Coordinator | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2015-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
Find all providers in zip 89015 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962002964 | Andrew Justin Freeman | Psychologist | 1485 W Warm Springs Rd Ste 109, Henderson, NV 89014-7632 | 2020-10-28 |
1730523572 | Samantha Christine Flores | Psychologist | 1651 American Pacific Dr, Unit#2303, Henderson, NV 89074-7601 | 2013-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104437946 | Coates & Doran, Pllc | Psychologist | 1812 Marian Ave, Carson City, NV 89706-2632 | 2020-08-14 |
1316495583 | Each Child An Achiever Corporation | Psychologist | 1225 E Hacienda Ave, #2, Las Vegas, NV 89119-5027 | 2016-09-16 |
1730505553 | Alexis Manning-espinda | Psychologist | 1550 Lorilyn Ave Unit 2, Las Vegas, NV 89119-7662 | 2014-03-17 |
1588087860 | Tonya Cooper | Psychologist | 2701 N Decatur Blvd Apt 1055, Las Vegas, NV 89108-2969 | 2014-01-22 |
1609298256 | Cynthia Bolden | Psychologist | 1957 Susan St, Las Vegas, NV 89106-2654 | 2014-01-16 |
1700217031 | Adrian Brown | Psychologist | 5824 W Oakey Blvd, Las Vegas, NV 89146-1243 | 2013-12-12 |
1639501935 | Debora Cole | Psychologist | 2504 Clayton St, North Las Vegas, NV 89032-3802 | 2013-08-08 |
1275871238 | Porscha Menyweather | Psychologist | 4316 E Tropicana Ave, Las Vegas, NV 89121-6704 | 2013-01-26 |
1689918054 | Tangy Denise Goffner | Psychologist | 1129 W Monroe Ave, Las Vegas, NV 89106-2914 | 2012-11-24 |
1710246921 | Life Gateway | Psychologist | 2128 Pink Coral Dr, North Las Vegas, NV 89031-0985 | 2012-05-08 |
Find all providers with the same taxonomy |
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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.