Organization · Type 2 NPI

Capistrano

Clinical Psychologist · Las Vegas, NV

NPI number 1306638754 Active

Practice location

2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632

Call (702) 685-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1306638754

Capistrano's National Provider Identifier is 1306638754, issued on May 21, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Las Vegas, NV. The record was last updated on May 13, 2026.