# NICOLE ANN CAVENAGH, PHD, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639822109
- **Authorized official:** NICOLE ANN CAVENAGH PHD (LICENSED PSYCHOLOGIST/PRACTICE OWNE)
- **Authorized official phone:** (702) 912-5848

## Contact information

- **Practice address:** 3211 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3157
- **Practice address phone:** (702) 912-5848
- **Mailing address:** 3211 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3157
- **Mailing address phone:** (702) 912-5848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 09/11/2025