MEDICARE: ALISA TURNER AUGUSTYN, PSY.D., PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1811830011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALISA TURNER AUGUSTYN, PSY.D., PLLC

Provider Business Mailing Address
First Line	:	9750 W SKYE CANYON PARK DR STE 160-132
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6623
Country	:	US
Telephone Number	:	805-270-3343
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 W LAKE MEAD BLVD STE 9246
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	805-270-3343
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. ALISA MARIE TURNER AUGUSTYN
Credential	:	PSY.D
Telephone Number	:	805-270-3343

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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