Jeider Limited

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

JEIDER LIMITED

Practice address

10785 W Twain Ave Ste 219
Las Vegas, NV 89135-3028

Phone

(702) 350-2906

NPI assigned

Jan 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Jeider, MDNPI 1902149248

Title

Owner

Phone

(702) 350-2906

Specialties & licenses 2

Addresses

Other names 1

• Legal Business Name Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Jeider, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1902149248
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1013424100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 W FLAMINGO RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 W TWAIN AVE STE 219",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353028",
            "telephone_number": "702-350-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEIDER LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "JEIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-350-2906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legal Business Name",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Legal Business Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kori Jeffries, ATC, LAT
• Kristilyn Kay Jeffries, DPT
• Leon Jeffries
• Logan Ray Jeffries
• Robert Jeffries
• Timothy Jeider, M.D.
• Jason E Jeitz, CRNA
• Mitra Jeizan
• Jelani and Associates, LLC (Strength in Life Behavioral Health Services)
• Ivana Jelavic, LIMHP, LPCC, LCPC

• Child & Adolescent Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Child & Adolescent Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.