Grand Desert Psychiatric Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APRN001638 Issued in NV

Legal business name

GRAND DESERT PSYCHIATRIC SERVICES

Practice address

2021 S Jones Blvd
Las Vegas, NV 89146-3137

Phone

(702) 202-0099

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Okeke, MD

Title

Medical Director

Phone

(702) 202-0099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1831586262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463137",
            "telephone_number": "702-202-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463137",
            "telephone_number": "702-202-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND DESERT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-202-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "APRN001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga A Granados
• Patrick Dale N. Granados
• Richard Jesus Granados
• Angela Marie Granata, D.P.M.
• Jaymes D Granata, M.D.
• Grand Desert Psychiatric SVC
• Angela Granda
• Kelly Granda
• Patrick Granda
• Luis Q Grandal

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.