Organization Active NPI

Psychiatric Management, LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1043870199
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC MANAGEMENT, LLC
Practice address
2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605
Phone
(702) 384-2238
Fax
(702) 384-2279
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
David Earl Linden, MD
Title
Owner
Phone
(405) 840-1999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605

Mailing address

4900 Richmond SQ Ste 102
Oklahoma City, OK 73118-2042
Phone (405) 840-1999

Other practice location 1

4900 Richmond Sq Ste 102
Oklahoma City, OK 73118-2042
Phone (405) 840-1999

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL EHR
CONNECT URL EHR

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4900 Richmond Sq
Ste 102
Oklahoma City, OK 73118
Phone (405) 840-1999

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1043870199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 RICHMOND SQ STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182042",
            "telephone_number": "405-840-1999",
            "fax_number": "405-848-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "702-384-2238",
            "fax_number": "702-384-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Richmond Sq Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731182042",
            "country_code": "US",
            "telephone_number": "405-840-1999",
            "fax_number": "405-848-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHIATRIC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-840-1999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "2725 S Jones Blvd Ste 104",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891465605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "4900 Richmond Sq Ste 102",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731182042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.