MARK PHILO SHORT PSY.D.
NPI 1124291778
Psychologist - School in Las Vegas, NV

Active since April 03, 2008PECOS Enrolled
2780 S JONES BLVD STE 108, LAS VEGAS, NV 89146(702) 606-3295 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Philo Short Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK PHILO SHORT PSY.D. (NPI 1124291778) is an individual school provider in Las Vegas, Nevada and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124291778
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMARK PHILO SHORTCredential: PSY.D.
Location Address2780 S JONES BLVD STE 108Las Vegas, NV 89146-5625
Mailing Address2780 S Jones Blvd Ste 108Las Vegas, NV 89146-5625 · (702) 606-3295
Sole ProprietorYes
Enumeration DateApril 3, 2008
Last NPPES UpdateAugust 4, 2016
✔ NPI 1124291778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY0780 (NV)
2780 S JONES BLVD STE 108, Las Vegas, NV 89146

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Philo Short Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2780 S JONES BLVD, SUITE 108
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
2780 S JONES BLVD STE 108
LAS VEGAS, NV 89146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Short's NPI number?

The NPI number for Mark Short is 1124291778. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Mark Short located?

Mark Short practices at 2780 S Jones Blvd Ste 108, Las Vegas, NV 89146. The listed phone number is (702) 606-3295.

What is Mark Short's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Mark Short enrolled in Medicare?

Yes. Mark Short is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Short reassigns Medicare benefits to Integrated Psychological Solutions LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Short accept?

Health plans from Molina Healthcare list Mark Short as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Short was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.