Telepsycrx LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TELEPSYCRX LLC

Practice address

4087 Tara Ave Apt 7
Las Vegas, NV 89102-7480

Phone

(833) 283-5377

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Amada Macdonald

Title

Chief Executive Officer

Phone

(833) 283-5377

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1982378279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 TARA AVE APT 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027480",
            "telephone_number": "332-835-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 TARA AVE APT 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027480",
            "telephone_number": "833-283-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPSYCRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "AMADA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "833-283-5377"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amanda.macdonald@telepsycrx.com",
            "affiliation": "N",
            "endpointDescription": "CEO - Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4087 Tara Ave Apt 7",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891027480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.