Active NPI
Matthew Okeke, M.D. LTD
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1114465192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14957
- Legal business name
- MATTHEW OKEKE, M.D. LTD
- Practice address
- 2021 S Jones Blvd
Las Vegas, NV 89146-3137 - Phone
- (702) 202-0099
- Fax
- (702) 778-7832
- NPI assigned
- Feb 9, 2017
- Organization subpart
- Yes
- Parent organization
- MATTHEW OKEKE, M.D. LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Okeke, M.D.
- Title
- Director
- Phone
- (702) 202-0099
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14957 | NV | Primary |
Addresses
Primary practice location
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Mailing address
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099
Other names 1
- Grand Desert Psychiatric Services
National Provider Directory
National Provider Directory- Tax ID family
- Grand Desert Psychiatric SVC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Las Vegas, NV
- NPI 1962952952
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1902377799
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1699390427
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1730272709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486598400000",
"number": "1114465192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099",
"fax_number": "702-778-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099",
"fax_number": "702-778-7832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW OKEKE, M.D. LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MATTHEW OKEKE, M.D. LTD",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A",
"authorized_official_last_name": "OKEKE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-202-0099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "14957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Desert Psychiatric Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.