Silver State Psychiatry Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SILVER STATE PSYCHIATRY INC

Practice address

3110 S Durango Dr Ste 200
Las Vegas, NV 89117-9198

Phone

(702) 769-0757

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 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

Chukwuemeka Deroy ObilorNPI 1366024119

Title

Owner

Phone

(702) 769-0757

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chukwuemeka Deroy Obilor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1366024119
  Authorized official Same address or phone

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1245934470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 S DURANGO DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179198",
            "telephone_number": "702-769-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S DURANGO DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179198",
            "telephone_number": "702-769-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "OBILOR",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_middle_name": "DEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-769-0757"
    },
    "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": []
}

• Silver State Ocular LLC (Pro Eyesthetics)
• Silver State Pediatric Behavioral Services LLC
• Silver State Pediatric Behavioral Services LLC
• Silver State Personal Care Services LLC
• Silver State Pharmacy LLC
• Silver State Psychology
• Silver State Psychology
• Silver State Rehab & Wellness Center LLC
• Silver State Surgery Center West LLC
• Silver State Transit 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 Mar 30, 2023; 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.