DR. JEREMY GALLAS (NPI# 1851840656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851840656 |
| Entity Type | Individual |
| Full Name | DR. JEREMY GALLAS |
| Credential | PSY.D. |
| Practice Address |
1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 |
| Practice Telephone | 7028249639 |
| Practice Fax Number | 7256009938 |
| Mailing Telephone | 7028249639 |
| Mailing Fax Number | 7256009938 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY0790 | NV | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0790 | NV | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0790 | NV | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PY0790 | NV | Behavioral Health & Social Service Providers |
| Street Address |
1489 W WARM SPRINGS RD STE 110 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508081894 | Gregory Peninger Brown | Psychiatry & Neurology | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014 | 2007-04-13 |
| 1912514787 | Reliable Care Registry Corp | Health Maintenance Organization | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2020-09-25 |
| 1144834052 | Salvador A Balana Jr. | Clinical Nurse Specialist | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2020-09-08 |
| 1932680923 | Pms Homehealthcare LLC | Technician | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2018-08-27 |
| 1740795103 | Mojo Mobility LLC | Non-emergency Medical Transport (VAN) | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2017-12-07 |
| 1033669627 | Vr Therapy Las Vegas, Inc. | Community/Behavioral Health | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2016-10-07 |
| 1205155868 | Couture Speech, LLC | Speech-Language Pathologist | 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014-7367 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546221 | Christeen Sonaly Silva | Psychologist | 981 Whitney Ranch Dr Apt 826, Henderson, NV 89014-2570 | 2020-07-26 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1497161392 | Janell Marie Mihelic | Psychologist | 660 Finch Island Ave, Henderson, NV 89015-6637 | 2014-07-11 |
| 1760769764 | Jennifer Dawn Karmely | Psychologist | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2011-11-04 |
| 1538459722 | Christina A Patterson | Psychologist | 2460 Paseo Verde Pkwy Ste 100, Henderson, NV 89074-7136 | 2011-04-09 |
| 1942449806 | Richard H Pratt Phd Ltd | Psychologist | 701 N Green Valley Pkwy # 293, Henderson, NV 89074-6177 | 2009-02-16 |
| 1710124193 | Nicole Josephine Williams-myers | Psychologist | 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 | 2009-01-07 |
| 1831376771 | Leah Wingeart | Psychologist | 1977 Via Firenze, Henderson, NV 89044-0256 | 2008-01-23 |
| 1972795680 | Comprehensive Psychological Services LLC | Psychologist | 1335 Bayleaf Terrace Ave, Henderson, NV 89014-8867 | 2007-08-16 |
| 1457565434 | Patricia Barrera | Psychologist | 701 N Green Valley Pkwy, Suite 200, Henderson, NV 89074-6177 | 2007-05-09 |
| Find all providers in HENDERSON | ||||
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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.