Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Bissram, PHD

Individual provider Psychologist · NPI 1508501826

Jeremy Bissram, PHD is a Psychologist in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1930 Village Center Cir # 3-2294
Las Vegas, NV 89134-6299
Phone: (775) 583-7621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1508501826
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 2, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address1930 Village Center Cir # 3-2294, Las Vegas, NV 89134-6299

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