Individual provider Active NPI

Thomas Earl Guyden, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1528070786
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10820 Issued in NV
Practice address
6161 W Charleston Blvd
Las Vegas, NV 89146
Phone
(702) 486-6091
Fax
(702) 486-0411
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10820 NV Primary

Addresses

Primary practice location

6161 W Charleston Blvd
Las Vegas, NV 89146

Mailing address

1681 E Flamingo Rd
#2
Las Vegas, NV 89119-5274
Phone (702) 650-0633

Other identifiers 1

IdentifierTypeStateIssuer
100505872MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10820NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Options, Inc. Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1528070786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-650-0633",
            "fax_number": "702-650-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-486-6091",
            "fax_number": "702-486-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYDEN",
        "first_name": "THOMAS",
        "middle_name": "EARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505872",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

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