NPIMap

Organization Active NPI

Matthew Okeke MD LTD

Doing business as Grand Desert Psychiatric Services

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1902377799
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MATTHEW OKEKE MD LTD
Doing business as
Grand Desert Psychiatric Services
Practice address
1408 S Jones Blvd
Las Vegas, NV 89146-1231
Phone
(702) 202-0099
Fax
(702) 778-7632
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MATTHEW OKEKE MD LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Matthew O Okeke, MDNPI 1730272709
Title
President
Phone
(702) 202-0099

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1408 S Jones Blvd
Las Vegas, NV 89146-1231

Mailing address

2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099

Other names 1

  • GRAND DESERT PSYCHIATRIC SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matthew Okeke MD LTD4 organizations share this tax ID, including this one
Part of
Matthew Okeke MD LTD

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1902377799",
    "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",
            "fax_number": "702-778-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-202-0099",
            "fax_number": "702-778-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW OKEKE MD LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW OKEKE MD LTD",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-202-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND DESERT PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 6, 2018; 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.