Peter a Mansky MD Consultant LTD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

PETER A MANSKY MD CONSULTANT LTD

Doing business as

Clinical Services of Nevada

Practice address

4735 S Durango Dr Ste 101
Las Vegas, NV 89147-8164

Phone

(702) 405-7285

Fax

(877) 324-7915

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By 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

Peter A Mansky, MD

Title

President

Phone

(702) 405-7285

Specialties & licenses 2

Addresses

Other names 1

• CLINICAL SERVICES OF NEVADA Doing business as

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1639487390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-735",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-405-7285",
            "fax_number": "877-324-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478164",
            "telephone_number": "702-405-7285",
            "fax_number": "877-324-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A MANSKY MD CONSULTANT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "MANSKY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-405-7285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL SERVICES OF NEVADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peter Su MD LLC
• Cheyenne Alberta Peter, LPN

• Addiction Medicine (Psychiatry & Neurology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.