SHIODE PSYCHOTHERAPY, INC.
NPI 1326178310
Psychologist - Clinical in Las Vegas, NV

Active since March 07, 2007
501 S. RANCHO DR., STE I-64, LAS VEGAS, NV 89106(702) 384-4110(702) 384-7954 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shiode Psychotherapy, Inc. NPPES

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

SHIODE PSYCHOTHERAPY, INC. (NPI 1326178310) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since March 2007. The organization lists Daniel T Shiode, President, as its authorized official.

NPPES Registry Identity

NPI1326178310
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSHIODE PSYCHOTHERAPY, INC.
Location Address501 S. RANCHO DR., STE I-64Las Vegas, NV 89106
Mailing Address501 S. Rancho Dr., Ste I-64Las Vegas, NV 89106 · (702) 384-4110 · Fax (702) 384-7954
Fax(702) 384-7954
Organization SubpartNo
Authorized OfficialDaniel T ShiodePresident · (702) 384-4110
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 19, 2009
✔ NPI 1326178310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NV · PY0244
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
501 S. RANCHO DR., Las Vegas, NV 89106

Other Identifiers 2

Medicare ID-Type UnspecifiedVPHD244NV · Medicare Id-dan
Medicaid002602062NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiode Psychotherapy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shiode Psychotherapy, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1013047091
501 S RANCHO DR STE I-64
Las Vegas, NV 89106
(702) 384-4110
✔ PECOS✔ Accepts MedicareSame address

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

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 Shiode Psychotherapy, Inc.'s NPI number?

The NPI number for Shiode Psychotherapy, Inc. is 1326178310. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Shiode Psychotherapy, Inc. located?

Shiode Psychotherapy, Inc. is located at 501 S. Rancho Dr. Ste I-64, Las Vegas, NV 89106. The listed phone number is (702) 384-4110.

What is Shiode Psychotherapy, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shiode Psychotherapy, Inc. enrolled in Medicare?

Yes. Shiode Psychotherapy, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shiode Psychotherapy, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Shiode Psychotherapy, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shiode Psychotherapy, Inc. was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.