Organization Active NPI

Advanced Psychiatry Inc

  • Psychiatry Physician
  • North Las Vegas, NV
National Provider Identifier
1497200299
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16137 Issued in NV
Legal business name
ADVANCED PSYCHIATRY INC
Practice address
4310 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-2484
Phone
(702) 763-7811
Fax
(702) 947-4920
NPI assigned
Aug 22, 2016
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Uzoma Osuchukwu, MDNPI 1063760411
Title
Owner
Phone
(617) 515-2570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 16137 NV Primary

Addresses

Primary practice location

4310 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-2484

Mailing address

4310 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-2484
Phone (702) 763-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505000980 NV Part B Supplier - Clinic/Group Practice 6800173576 Receives reassigned benefits from 3 practitioners
Practice locations: North Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2342495Advanced Psychiatry Medical Institute4310 W Cheyenne Ave Ste 100, N Las Vegas, NV 89032Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Locations

4310 W Cheyenne Ave
Ste 100
North Las Vegas, NV 89032
Phone (617) 515-2570

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1497200299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-763-7811",
            "fax_number": "702-947-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-763-7811",
            "fax_number": "702-947-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "OSUCHUKWU",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-515-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "16137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.