Active NPI
Michael Depriest, MD
- Psychiatry Physician
- Pahrump, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7735
- Practice address
- 240 Humahuaca St
Pahrump, NV 89048-2199 - Phone
- (775) 751-7406
- Fax
- (775) 751-7409
- NPI assigned
- Dec 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7735 | NV | Primary |
Addresses
Primary practice location
240 Humahuaca St
Pahrump, NV 89048-2199
Mailing address
PO Box 82130
Las Vegas, NV 89180-2130
Phone (702) 338-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Tennessee, HSC, College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 486-6112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7735 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada | Current | Accepting new patients | |
| Southern Nevada Adult Mental Health | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420
240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406
475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1891756920
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437219722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891802130",
"telephone_number": "702-338-8102",
"fax_number": "702-338-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 HUMAHUACA ST",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890482199",
"telephone_number": "775-751-7406",
"fax_number": "775-751-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPRIEST",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "7735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.