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BROCK ROADHOUSE
NPI 1659792117
Psychologist - Cognitive & Behavioral in Las Vegas, NV

Active since December 30, 2013
231 S 3RD ST, LAS VEGAS, NV 89101(702) 468-7218 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brock Roadhouse NPPES

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

BROCK ROADHOUSE (NPI 1659792117) is an individual cognitive & behavioral provider in Las Vegas, Nevada, licensed in Nevada (103TB0200X) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1659792117
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameBROCK ROADHOUSE
Location Address231 S 3RD STLas Vegas, NV 89101-5914
Mailing Address231 S 3rd StLas Vegas, NV 89101-5914
Phone(702) 468-7218
Sole ProprietorNo
Enumeration DateDecember 30, 2013
✔ NPI 1659792117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in NV · 103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
231 S 3RD ST, Las Vegas, NV 89101
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Other Providers at the Same Location NPPES 6

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

SHEYANE FAGA
Behavior Analyst
231 S 3RD ST
LAS VEGAS, NV 89101
Clark County (702) 751-2535
SHANNON CLEVELAND
Behavior Analyst
231 S 3RD ST, SUITE 130
LAS VEGAS, NV 89101
Clark County (702) 485-4937
RICCO BRACEY
Behavior Analyst
231 S 3RD ST, SUITE# 130
LAS VEGAS, NV 89101
Clark County (702) 485-4937
INDIAN SPRINGS COMMUNITY SERVICES
Community/Behavioral Health
231 S 3RD ST, SUITE 130
LAS VEGAS, NV 89101
Clark County (702) 751-2535
CHRISTOPHER OLSON
Counselor (Mental Health)
231 S 3RD ST, SUITE 130
LAS VEGAS, NV 89101
Clark County (702) 485-4937
NATASHA CRUZ
Psychologist (Cognitive & Behavioral)
231 S 3RD ST
LAS VEGAS, NV 89101
Clark County (702) 413-2523

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 Brock Roadhouse's NPI number?

The NPI number for Brock Roadhouse is 1659792117. It was assigned to this individual provider in the NPPES registry on December 30, 2013.

Where is Brock Roadhouse located?

Brock Roadhouse practices at 231 S 3rd St, Las Vegas, NV 89101. The listed phone number is (702) 468-7218.

What is Brock Roadhouse's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Brock Roadhouse was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.