Provider Demographics
NPI:1912031584
Name:CARTER-HARGROVE, JAMES ARCHIE (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARCHIE
Last Name:CARTER-HARGROVE
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 PYRAMID WAY STE 402
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4430
Mailing Address - Country:US
Mailing Address - Phone:775-771-1010
Mailing Address - Fax:
Practice Address - Street 1:1001 PYRAMID WAY STE 402
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4430
Practice Address - Country:US
Practice Address - Phone:775-771-1010
Practice Address - Fax:775-448-6161
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0258103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002616058Medicaid
NV002616058Medicaid