Psychiatric Associates Professional, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PSYCHIATRIC ASSOCIATES PROFESSIONAL, LLC

Practice address

2725 S Jones Blvd Ste 106
Las Vegas, NV 89146-5605

Phone

(702) 606-3445

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By 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

Ancy Tom, APRNNPI 1669840203

Title

Owner

Phone

(702) 606-3445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 6

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.

• Ancy Tom, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1669840203
  Medicare reassignment Care Compare group NPD Authorized official
• Dithra Ann Cotton-Lewis

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1487159182
  Medicare reassignment Care Compare group NPD
• David Earl Linden, M.D.

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1821062324
  Medicare reassignment Care Compare group NPD
• Shunmugam Nallaperumal, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1689486029
  Medicare reassignment Care Compare group NPD
• Ladwana Retic, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1851682587
  Medicare reassignment Care Compare group
• Charles Ellis, LCSW-C

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1215017009

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1881219335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 SANTA CANDIDA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381523",
            "telephone_number": "702-606-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "702-606-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "ANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-606-3445",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Heather Przybylski
• Psalms 91
• Psyantics Mental Health LLC
• Psych Connections LLC
• Psychgenesis Medical, PLLC (PsycGenesis Medical, PLLC)
• Psychiatric Brain Institute of Nevada LLC
• Psychiatric Management, LLC
• Psychiatric Management, LLC
• Psychiatry of Texas PLLC
• Psychiatry Services Professional Corporation Khurana Jeider (Psychiatry Connection)

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.