NPIMap

Organization Active NPI

Psychiatric Management, LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1841645934
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC MANAGEMENT, LLC
Practice address
2725 S Jones Blvd
Suite 104
Las Vegas, NV 89146-5667
Phone
(405) 840-1999
Fax
(405) 848-3298
NPI assigned
Apr 26, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
David E Linden, M.D.NPI 1821062324
Title
Owner
Phone
(405) 840-1999

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 NU Primary

Addresses

Primary practice location

2725 S Jones Blvd
Suite 104
Las Vegas, NV 89146-5667

Mailing address

4900 Richmond SQ
Suite 102
Oklahoma City, OK 73118-2028
Phone (405) 840-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161213002284 NV Part B Supplier - Clinic/Group Practice 4486934254 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20211110001837 CA Part B Supplier - Clinic/Group Practice 4486934254 Receives reassigned benefits from 1 practitioner
Practice locations: Apple Valley, CA

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Management LLC2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1841645934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 RICHMOND SQ",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182028",
            "telephone_number": "405-840-1999",
            "fax_number": "405-848-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465667",
            "telephone_number": "405-840-1999",
            "fax_number": "405-848-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-840-1999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "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 Aug 3, 2016; 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.