| Advanced Psychiatric Associates Inc | |
|
3245 S Rainbow Blvd Ste 100 Las Vegas NV 89146-6217 | |
| (702) 228-4900 | |
| (702) 228-1177 |
| Full Name | Advanced Psychiatric Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3245 S Rainbow Blvd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Anurag Gupta (PRESIDENT) |
| Authorized Official Contact | 7022284900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Associates Inc 3245 S Rainbow Blvd Ste 100 Las Vegas NV 89146-6217 Ph: (702) 228-4900 | Advanced Psychiatric Associates Inc 3245 S Rainbow Blvd Ste 100 Las Vegas NV 89146-6217 Ph: (702) 228-4900 |
| NPI Number | 1528479250 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 7012135619 |
|---|---|
| Medicare Enrollment ID | O20140822001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528479250 | NPI | - | NPPES |
| 1528479250 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Anurag Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144285552 PECOS PAC ID: 7012016066 Enrollment ID: I20121102000363 |
| Provider Name | Merle Valine Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033845169 PECOS PAC ID: 8729459730 Enrollment ID: I20230130000422 |
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