SEAO INTERALIA
NPI 1790282002
Psychologist - Exercise & Sports in Las Vegas, NV

Active since April 12, 2018
9082 VINTAGE WINE AVE, LAS VEGAS, NV 89148(702) 328-0459 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seao Interalia NPPES

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

SEAO INTERALIA (NPI 1790282002) is a healthcare organization registered as an exercise & sports in Las Vegas, Nevada and active in the NPI registry since April 2018. The organization lists Jude Niba, President, as its authorized official.

NPPES Registry Identity

NPI1790282002
Entity TypeOrganization
Primary Taxonomy103TE1100X
Legal Business NameCOMMUNITY YOUTH INTERALIA
Location Address9082 VINTAGE WINE AVELas Vegas, NV 89148-4916
Mailing Address9082 Vintage Wine AveLas Vegas, NV 89148-4916 · (702) 328-0459
Organization SubpartYes
Authorized OfficialJude NibaPresident · (702) 328-0459
Enumeration DateApril 12, 2018
NPI 1790282002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
License Licensed in NV · 667
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
9082 VINTAGE WINE AVE, Las Vegas, NV 89148

Other Names 1

Doing Business AsSeao Interalia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychologist (Exercise & Sports)
9082 VINTAGE WINE AVE
LAS VEGAS, NV 89148
Non-emergency Medical Transport (VAN)
9082 VINTAGE WINE AVE
LAS VEGAS, NV 89148

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 Community Youth Interalia's NPI number?

The NPI number for Community Youth Interalia is 1790282002. It was assigned to this organization in the NPPES registry on April 12, 2018. The provider is doing business as Seao Interalia.

Where is Community Youth Interalia located?

Community Youth Interalia is located at 9082 Vintage Wine Ave, Las Vegas, NV 89148. The listed phone number is (702) 328-0459.

What is Community Youth Interalia's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Community Youth Interalia was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.