Active NPI
Stride Behavioral Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1750115804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- STRIDE BEHAVIORAL HEALTH PLLC
- Practice address
- 6855 W Charleston Blvd Ste a
Las Vegas, NV 89117-1675 - Phone
- (614) 230-6081
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shailendra Kumar Jain, PMHNP,FNP
- Title
- Provider
- Phone
- (725) 205-3557
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6855 W Charleston Blvd Ste a
Las Vegas, NV 89117-1675
Mailing address
6855 W Charleston Blvd Ste a
Las Vegas, NV 89117-1675
Phone (725) 205-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6855 W Charleston Blvd
Ste A
Las Vegas, NV 89117
Phone (614) 230-6081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1174970883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1750115804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6855 W CHARLESTON BLVD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171675",
"telephone_number": "725-205-3557",
"fax_number": "725-228-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 W CHARLESTON BLVD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171675",
"telephone_number": "614-230-6081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDE BEHAVIORAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "SHAILENDRA",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "725-205-3557",
"authorized_official_credential": "PMHNP,FNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 29, 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.