Provider Demographics
NPI:1508259326
Name:ADAMS, BEN G (PHD)
Entity type:Individual
Prefix:DR
First Name:BEN
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6655 S TENAYA WAY STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1929
Mailing Address - Country:US
Mailing Address - Phone:702-483-8017
Mailing Address - Fax:702-202-0923
Practice Address - Street 1:6655 S TENAYA WAY STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1929
Practice Address - Country:US
Practice Address - Phone:702-483-8017
Practice Address - Fax:702-202-0923
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY020759103TC0700X
NVPY0846103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical