BATTLE-BORN PSYCHOLOGICAL SERVICES, LLC
NPI 1912377482
Psychologist - Clinical in North Las Vegas, NV

Q: What is Battle-Born Psychological Services, LLC's specialty?

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

Active since September 28, 2015

5836 BELUGA BAY ST, NORTH LAS VEGAS, NV 89081(702) 941-0583(702) 518-0966 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, Apr 5, 2022, Jan 10, 2022 and 1 more (4 updates tracked since 2015).

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About Battle-born Psychological Services, Llc NPPES

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

BATTLE-BORN PSYCHOLOGICAL SERVICES, LLC (NPI 1912377482), doing business as Black-belt Psychological Services, is a healthcare organization registered as a clinical in North Las Vegas, Nevada and active in the NPI registry since September 2015. The organization lists Earnest Howard-rudolph Blackshear, Ceo & Primary Consultant, as its authorized official.

NPPES Registry Identity

NPI1912377482

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBATTLE-BORN PSYCHOLOGICAL SERVICES, LLC

Location Address5836 BELUGA BAY STNorth Las Vegas, NV 89081-6843

Mailing Address5836 Beluga Bay StNorth Las Vegas, NV 89081-6843 · (702) 941-0583 · Fax (702) 518-0966

Phone(702) 941-0583

Fax(702) 518-0966

Organization SubpartNo

Authorized OfficialEarnest Howard-rudolph BlackshearCeo & Primary Consultant · (702) 941-0583

Enumeration DateSeptember 28, 2015

Last NPPES UpdateApril 13, 20224 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1912377482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

5836 BELUGA BAY ST, North Las Vegas, NV 89081

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Other Names 1

Former Legal Business NameBlack-belt Psychological Services

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

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

DR. EARNEST HOWARD-RUDOLPH BLACKSHEAR JR. PH.D.

Psychologist (Clinical)

5836 BELUGA BAY ST
NORTH LAS VEGAS, NV 89081

Clark County (702) 941-0583

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 Battle-Born Psychological Services, LLC's NPI number?

The NPI number for Battle-Born Psychological Services, LLC is 1912377482. It was assigned to this organization in the NPPES registry on September 28, 2015. The provider was formerly known as Black-Belt Psychological Services.

Where is Battle-Born Psychological Services, LLC located?

Battle-Born Psychological Services, LLC is located at 5836 Beluga Bay St, North Las Vegas, NV 89081. The listed phone number is (702) 941-0583.

What is Battle-Born Psychological Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Battle-Born Psychological Services, LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.