Active NPI
Stark Medicine Khurana Jeider PLLC
Doing business as Nevada Mental Health
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1295317659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STARK MEDICINE KHURANA JEIDER PLLC
- Doing business as
- Nevada Mental Health
- Practice address
- 6600 W Charleston Blvd Ste 122
Las Vegas, NV 89146-1067 - Phone
- (702) 440-8840
- Fax
- (866) 518-0781
- NPI assigned
- Apr 26, 2021
- Last updated
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Benjamin James Jeider
- Title
- Owner
- Phone
- (702) 440-8430
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
6600 W Charleston Blvd Ste 122
Las Vegas, NV 89146-1067
Mailing address
840 S Rancho Dr Ste 4-903
Las Vegas, NV 89106-3837
Phone (702) 440-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902149248 | Medicaid | NV |
Other names 1
- Nevada Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1669649778
-
- Clinical Psychologist
- Las Vegas, NV
- NPI 1366567836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1295317659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S RANCHO DR STE 4-903",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063837",
"telephone_number": "702-440-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 W CHARLESTON BLVD STE 122",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461067",
"telephone_number": "702-440-8840",
"fax_number": "866-518-0781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARK MEDICINE KHURANA JEIDER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "JEIDER",
"authorized_official_first_name": "TIMOTHY BENJAMIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-440-8430"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902149248",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Mental Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nevada Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Starfield Emergency Physicians, PPLC
- Starfruit Holdings, LLC (Trellis Paradise)
- Stark Industries Medical
- Stark Medicine (Nevada Mental Health)
- Stark Medicine Khurana Jeider PLLC (Nevada Mental Health)
- Beatrice Ann Stark, D.D.S.
- Brian William Stark Jr., PA-C
- Ellen Stark, LSW
- Keith A Stark
- Renee Stark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.