NEVEDA PSYCHIATRIC CLINIC LLC (NPI# 1083072425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083072425 |
| Entity Type | Organization |
| Organization Name | NEVEDA PSYCHIATRIC CLINIC LLC |
| Other Organization Name | NEVADA PSYCHIATRIC CLINIC |
| Practice Address |
4560 S Eastern Ave Ste 17b Las Vegas NV 89119-6182 |
| Mailing Address |
Po Box 72496 Las Vegas NV 89170-2496 |
| Practice Telephone | 7023659006 |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | SALEHA K BAIG (OWNER/PROVIDER) |
| Authorized Official Telephone | 7026864469 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
7977 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEVADA PSYCHIATRIC CLINIC | Doing Business As Name - Organization |
| Street Address |
4560 S EASTERN AVE STE 17B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588682835 | Paul Kent Hilton | Dentist | 4560 S Eastern Ave, Suite B20, Las Vegas, NV 89119-6182 | 2006-07-17 |
| 1659749786 | Von Diagnostic and Counseling,llc | Counselor | 4560 S Eastern Ave, Suite 13, Las Vegas, NV 89119-6182 | 2015-09-06 |
| 1669864930 | Sunrise Medical Group, LLC | Clinic/Center | 4560 S Eastern Ave, Suite B17, Las Vegas, NV 89119-6182 | 2015-02-24 |
| 1407263106 | Teodoro Agtay | Nurse Practitioner | 4560 S Eastern Ave, Suite 18, Las Vegas, NV 89119-6182 | 2014-07-15 |
| 1477686368 | Stephen Marc Miller | Specialist | 4560 S Eastern Ave, Ste 18, Las Vegas, NV 89119-6182 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
| 1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
| 1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
| 1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
| 1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
| 1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
| 1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
| 1134759988 | Emmanuel Nwapa Md Pllc | Psychiatry & Neurology | 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146-0361 | 2020-01-21 |
| 1053880856 | Stark Medicine Mckay Khurana Jeider Pllc | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2018-11-21 |
| 1346609203 | Bergdale & Hall, LLC | Psychiatry & Neurology | 6879 W Charleston Blvd, Suite A, Las Vegas, NV 89117-1672 | 2016-02-19 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.