Provider Demographics
NPI:1427930239
Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Entity type:Organization
Organization Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD SUPERVISING PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARRIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-992-2567
Mailing Address - Street 1:1300 NEVADA STATE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9776
Mailing Address - Country:US
Mailing Address - Phone:702-992-2567
Mailing Address - Fax:
Practice Address - Street 1:CHRISTENSEN EDUCATION BUILDING
Practice Address - Street 2:1300 NEVADA STATE DR
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9776
Practice Address - Country:US
Practice Address - Phone:702-992-2567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty