Nevada Center For Neurodiversity LLC
Psychologist, Intellectual & Developmental Disabilities in Las Vegas, NV. Organization (NPI-2).
Details
- NPI
- 1902545189
- Entity type
- Organization (NPI-2)
- Legal business name
- Nevada Center For Neurodiversity LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2022
- Certification date
- Jun 3, 2022
- Last updated
- Jun 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Other names
- The Nevada Center For Neurodiversity, LLC (Doing Business As)
Practice location
3017 W Charleston Blvd Ste 54Las Vegas, NV 89102-1927
Phone 702-675-4410
Mailing address
3017 W Charleston Blvd Ste 54Las Vegas, NV 89102-1927
Phone 702-675-4410
Authorized official
Jennifer Karemly
Psychologist
7025804196
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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