NPI 1235674425 · live from the CMS NPI Registry
Bobby Vavla, LLC
Psychologist in Las Vegas, NV. National Provider Identifier 1235674425, active.
NPI record
| NPI | 1235674425 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 8987 W Flamingo Rd Ste 105, Las Vegas, NV 89147 |
| Practice phone | 702-461-2258 |
| Mailing address | 8987 W. Flamingo Rd. #105, Las Vegas, NV 89147 |
| Enumerated | December 27, 2016 |
| Last updated | June 20, 2017 |
| Authorized official | Bob Vavla, Ceo |
| Other names | Emerald Health Care Partners |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist, Family | 103TF0000X | — |
| Chiropractor | 111N00000X | — |
| Chiropractor, Neurology | 111NN0400X | — |
| Chiropractor, Pediatric Chiropractor | 111NP0017X | — |
| Chiropractor, Rehabilitation | 111NR0400X | — |
| Chiropractor, Occupational Health | 111NX0100X | — |
| Chiropractor, Orthopedic | 111NX0800X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.