Grand Desert Psychiatric SVC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

GRAND DESERT PSYCHIATRIC SVC

Practice address

2021 S Jones Blvd
Las Vegas, NV 89146-3137

Phone

(702) 202-0099

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Obim Okeke, MDNPI 1730272709

Title

President

Phone

(702) 202-0099

Specialties & licenses 1

Addresses

Tax ID family

Grand Desert Psychiatric SVC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Matthew Okeke MD LTD

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1902377799
  NPD tax ID
• Matthew Okeke, M.D. LTD

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1114465192
  NPD tax ID
• Matthew Okeke, M.D. LTD

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1699390427
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Obi Okeke, MD

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1730272709
  NPD (past) Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1962952952",
    "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": "2021 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463137",
            "telephone_number": "702-202-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND DESERT PSYCHIATRIC SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "OBIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-202-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.