Healthcare Provider Details

I. General information

NPI: 1912031584
Provider Name (Legal Business Name): JAMES ARCHIE CARTER-HARGROVE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PYRAMID WAY STE 402
SPARKS NV
89431-4430
US

IV. Provider business mailing address

1001 PYRAMID WAY STE 402
SPARKS NV
89431-4430
US

V. Phone/Fax

Practice location:
  • Phone: 775-771-1010
  • Fax: 775-448-6161
Mailing address:
  • Phone: 775-771-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY0258
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0258
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: