Olive Branch Psychiatrics

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OLIVE BRANCH PSYCHIATRICS

Practice address

6628 Sky Pointe Dr Ste 103
Las Vegas, NV 89131-4071

Phone

(702) 550-9199

Fax

(702) 935-8946

NPI assigned

Oct 14, 2022

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janelle Carolyn Welch-Oliver, APRNNPI 1427407014

Title

Nurse Practitioner

Phone

(702) 550-9199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janelle Carolyn Welch-Oliver, FNP-BC, NP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1427407014
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Tierney McClintock, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1205647914
  Medicare reassignment Care Compare group NPD
• Amanda Ashley Carnevale

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1790546596
  Medicare reassignment NPD
• Stephanie Alexander

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1417881228
  NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1144946765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750182",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891360182",
            "telephone_number": "702-561-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SKY POINTE DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314071",
            "telephone_number": "702-550-9199",
            "fax_number": "702-935-8946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 E Flamingo Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195197",
            "country_code": "US",
            "telephone_number": "702-550-9199",
            "fax_number": "702-935-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE BRANCH PSYCHIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "WELCH-OLIVER",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-550-9199",
        "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": []
}

• Franklin Olivas
• Joel Olivas
• Leticia Olivas
• Richard Olivas
• Sarah Elizabeth Olivas
• Olive Crest
• Olive Crest
• Olive Crest
• Olive Grove LLC (Olive Grove Residential Care)
• Olive Tree Counseling, LLC

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, 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 Apr 21, 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.