Universal Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

UNIVERSAL PSYCHIATRY LLC

Practice address

18 Holston Hills Rd
Henderson, NV 89052-6642

Phone

(034) 760-4416

Fax

(702) 852-0459

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Magdalena Malloy, APRNNPI 1912491168

Title

Ceo

Phone

(919) 257-0067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Magdalena Agnieszka Malloy, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1912491168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1104445394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HOLSTON HILLS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526642",
            "telephone_number": "034-760-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOLSTON HILLS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526642",
            "telephone_number": "034-760-4416",
            "fax_number": "702-852-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-257-0067",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Family Health Center, LLC
• Union Family Health Center, LLC
• Union Family Health Center, LLC
• Marlene T Unisa, DNP, APRN, FNP-C
• United Vision Behavioral Health Service
• University Medical Center of Southern Nevada
• University of Nevada School of Medicine Multi Specialty Group South
• University of Nevada School of Medicine Multispecialty Group Practice
• University of Nevada School of Medicine Multispecialty Group Practice
• University of NV School Associates South Group Practice So

• Psychiatric/Mental Health Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.