| Advanced Psychiatry Inc | |
|
4310 W Cheyenne Ave Ste 100 North Las Vegas NV 89032-2484 | |
| (702) 763-7811 | |
| (702) 947-4920 |
| Full Name | Advanced Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4310 W Cheyenne Ave Ste 100, North Las Vegas, Nevada |
| Authorized Official Name and Position | Uzoma Osuchukwu (OWNER) |
| Authorized Official Contact | 6175152570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatry Inc 4310 W Cheyenne Ave Ste 100 North Las Vegas NV 89032-2484 Ph: (702) 763-7811 | Advanced Psychiatry Inc 4310 W Cheyenne Ave Ste 100 North Las Vegas NV 89032-2484 Ph: (702) 763-7811 |
| NPI Number | 1497200299 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Medicare PECOS PAC ID | 6800173576 |
|---|---|
| Medicare Enrollment ID | O20170505000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497200299 | NPI | - | NPPES |
| 1063760411 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16137 (Nevada) | Primary |
| Provider Name | Uzoma Osuchukwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063760411 PECOS PAC ID: 6002136249 Enrollment ID: I20160411001516 |
| Provider Name | Pius E Ehiane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962801951 PECOS PAC ID: 8022313865 Enrollment ID: I20160510002342 |
| Provider Name | Sydney L Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396203758 PECOS PAC ID: 1759716111 Enrollment ID: I20200210002355 |
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