Nevada Psychiatric Solutions Clinic, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

NV20181040747 Issued in NV

Legal business name

NEVADA PSYCHIATRIC SOLUTIONS CLINIC, LLC

Practice address

2121 E Flamingo Rd Ste 108
Las Vegas, NV 89119-5123

Phone

(702) 570-7646

Fax

(702) 754-0675

NPI assigned

Mar 7, 2018

Last updated

Aug 17, 2018By 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

Jehan Alsmadi

Title

Owner

Phone

(702) 570-7646

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.

• Marie Matta

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1285093500
  NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1447752266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195123",
            "telephone_number": "702-570-7646",
            "fax_number": "702-754-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195123",
            "telephone_number": "702-570-7646",
            "fax_number": "702-754-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PSYCHIATRIC SOLUTIONS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ALSMADI",
        "authorized_official_first_name": "JEHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-570-7646"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "NV20181040747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Prime Care LLC
• Nevada Prime Care LLC
• Nevada Prime Care LLC
• Nevada Psych Health PLLC
• Nevada Psychiatric Solutions Clinic, LLC
• Nevada Psychiatry PLLC
• Nevada Psychotherapy Practice LLC (Nevada Psychotherapy Practice)
• Nevada Pulmonary Diagnostics and Sleep Disorders
• Nevada Radiation Oncology West LLC
• Nevada Rehab Resources LLC

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.