NPIMap

Organization Active NPI

Cal Psychiatric Services

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1619255122
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84300 Issued in CA
Legal business name
CAL PSYCHIATRIC SERVICES
Practice address
3027 E Sunset Rd Ste 107
Las Vegas, NV 89120-2758
Phone
(702) 629-7490
Fax
(702) 629-7685
NPI assigned
Aug 1, 2011
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Dr. Akindele Emmanuel Kolade, MDNPI 1922051846
Title
Owner
Phone
(702) 629-7490

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 Physician 2084P0800X A84300 CA Primary

Addresses

Primary practice location

3027 E Sunset Rd Ste 107
Las Vegas, NV 89120-2758

Mailing address

3027 E Sunset Rd Ste 107
Las Vegas, NV 89120-2758
Phone (702) 629-7490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821012601 NV Part B Supplier - Clinic/Group Practice 3870808744 Receives reassigned benefits from 8 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Cal Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2340 Paseo del Prado
Ste 301
Las Vegas, NV 89102
Phone (702) 629-7490

3027 E Sunset Rd
Ste 107
Las Vegas, NV 89120
Phone (702) 629-7490

4530 S Eastern Ave
Ste 1
Las Vegas, NV 89119
Phone (702) 507-0553

Practitioners & affiliated clinicians

Practitioners 8

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": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1619255122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 E SUNSET RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202758",
            "telephone_number": "702-629-7490",
            "fax_number": "702-629-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 E SUNSET RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202758",
            "telephone_number": "702-629-7490",
            "fax_number": "702-629-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "KOLADE",
        "authorized_official_first_name": "AKINDELE",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-629-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84300",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.