Shiode Psychotherapy, Inc.

LBN: Shiode Psychotherapy, Inc.
Shiode Psychotherapy, Inc. is an health care organization with primary practice located at 501 S. Rancho Dr. Ste I-64, Las Vegas NV 89106. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Shiode Psychotherapy, Inc. can be contacted via phone (702) 384-4110, or through Shiode, Daniel T via phone (702) 384-4110.

Contact Information

Primary practice address
501 S. Rancho Dr. Ste I-64 Las Vegas NV 89106
Fax: (702) 384-7954
Website:
Authorized official contact:
Name: Shiode, Daniel T PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0244 Nevada

Profile Details

NPI number 1326178310
LBN Legal business name Shiode Psychotherapy, Inc.
DBA Doing business as
Authorized official Shiode, Daniel T PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 19th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326178310 NPPES
Nevada MEDICAID 002602062

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