Alliance Mental Health Specialists Suba Park Cheng Pllc | |
4270 S Decatur Blvd Ste B6 Las Vegas NV 89103-6802 | |
(702) 485-2100 | |
(702) 825-0091 |
Full Name | Alliance Mental Health Specialists Suba Park Cheng Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4270 S Decatur Blvd Ste B6, Las Vegas, Nevada |
Authorized Official Name and Position | Faisal Suba (MEMBER) |
Authorized Official Contact | 7024852100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Mental Health Specialists Suba Park Cheng Pllc 4270 S Decatur Blvd Ste B6 Las Vegas NV 89103-6802 Ph: (702) 485-2100 | Alliance Mental Health Specialists Suba Park Cheng Pllc 4270 S Decatur Blvd Ste B6 Las Vegas NV 89103-6802 Ph: (702) 485-2100 |
NPI Number | 1275988107 |
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Provider Enumeration Date | 04/28/2016 |
Last Update Date | 10/27/2023 |
Certification Date | 09/14/2023 |
Medicare PECOS PAC ID | 1153616693 |
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Medicare Enrollment ID | O20160823003042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275988107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 13792 (Nevada) | Primary |
Provider Name | Christy D Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902018518 PECOS PAC ID: 5890840987 Enrollment ID: I20090825000414 |
Provider Name | Zelluyah W Gaitho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
Provider Name | Daniel Park |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124201801 PECOS PAC ID: 0749451136 Enrollment ID: I20110915000061 |
Provider Name | Nicole C Okeke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164752879 PECOS PAC ID: 7810158300 Enrollment ID: I20120410000262 |
Provider Name | Faisal Suba |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
Provider Name | Rhone D'errico |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740530328 PECOS PAC ID: 8628208378 Enrollment ID: I20140226000534 |
Provider Name | Meilan Liang Daguman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083089874 PECOS PAC ID: 2961703574 Enrollment ID: I20160229000756 |
Provider Name | Brian Pierson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922368596 PECOS PAC ID: 7012138738 Enrollment ID: I20160726003011 |
Provider Name | Syed Abubaker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396069159 PECOS PAC ID: 5193003523 Enrollment ID: I20161104001653 |
Provider Name | Melanie Ocampo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023317955 PECOS PAC ID: 0143509364 Enrollment ID: I20161110002386 |
Provider Name | Ann Marie Mallory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801203948 PECOS PAC ID: 1456641901 Enrollment ID: I20161115002083 |
Provider Name | Raven D Ennis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407278757 PECOS PAC ID: 6507146651 Enrollment ID: I20161206001905 |
Provider Name | Jon Failla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326474685 PECOS PAC ID: 1557645546 Enrollment ID: I20170313001471 |
Provider Name | Noel Acebes Diao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306264353 PECOS PAC ID: 3072898469 Enrollment ID: I20170327002890 |
Provider Name | Ying-chia Cheng |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811257058 PECOS PAC ID: 6002036795 Enrollment ID: I20170621002933 |
Provider Name | Trina Lashelle Singleterry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417487547 PECOS PAC ID: 7810262128 Enrollment ID: I20171011003417 |
Provider Name | Jamie Lee Cichon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346530425 PECOS PAC ID: 3375854953 Enrollment ID: I20171221002516 |
Provider Name | Christine Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851894489 PECOS PAC ID: 5890057400 Enrollment ID: I20180320000530 |
Provider Name | Steven H Berger |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376504589 PECOS PAC ID: 2163428558 Enrollment ID: I20180427000900 |
Provider Name | Jackie L Aragon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134618531 PECOS PAC ID: 4587928791 Enrollment ID: I20180515002224 |
Provider Name | Sharon A Rederford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891870614 PECOS PAC ID: 4789661059 Enrollment ID: I20180518000135 |
Provider Name | Jason M Castillo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013335959 PECOS PAC ID: 2567681547 Enrollment ID: I20181010003709 |
Provider Name | Sandra Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588189021 PECOS PAC ID: 8022352178 Enrollment ID: I20181130001691 |
Provider Name | Suzann Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619247681 PECOS PAC ID: 3274875208 Enrollment ID: I20190423002252 |
Provider Name | Jan Michael Vincent Galang Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023570090 PECOS PAC ID: 5991038440 Enrollment ID: I20190614002008 |
Provider Name | Michael Todd Mathisen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114487881 PECOS PAC ID: 0648504605 Enrollment ID: I20190625001488 |
Provider Name | Michael Popov |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518351097 PECOS PAC ID: 0244546505 Enrollment ID: I20190626003953 |
Provider Name | Melanie Celeste Lasseigne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598292666 PECOS PAC ID: 5193051209 Enrollment ID: I20190727000094 |
Provider Name | Reza Goravanchi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861886830 PECOS PAC ID: 1658687819 Enrollment ID: I20190802002111 |
Provider Name | Justin Petrie |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164816443 PECOS PAC ID: 1658687926 Enrollment ID: I20190805002007 |
Provider Name | Ernesto J Isman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326535683 PECOS PAC ID: 9638408792 Enrollment ID: I20190916000816 |
Provider Name | Alice Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497144620 PECOS PAC ID: 8123344751 Enrollment ID: I20191015003532 |
Provider Name | Pai-han A Yeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205344066 PECOS PAC ID: 9638401532 Enrollment ID: I20191025001591 |
Provider Name | Marie Luback-neves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023401999 PECOS PAC ID: 2860824091 Enrollment ID: I20191108002554 |
Provider Name | Adewale Musiliyu Busari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942861950 PECOS PAC ID: 0042450033 Enrollment ID: I20191119002622 |
Provider Name | Pius Atu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760025969 PECOS PAC ID: 7214360650 Enrollment ID: I20191126000044 |
Provider Name | Atheni Degrano Sevilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215104377 PECOS PAC ID: 5294160990 Enrollment ID: I20200126000039 |
Provider Name | Fernando Mendez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720472327 PECOS PAC ID: 2264710839 Enrollment ID: I20200722001820 |
Provider Name | Mujeeb Shad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871519041 PECOS PAC ID: 1759340748 Enrollment ID: I20200728001071 |
Provider Name | Shaheen Waqar Ahmad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205447406 PECOS PAC ID: 2062830516 Enrollment ID: I20200915001836 |
Provider Name | Marilyn A Alvarez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578148680 PECOS PAC ID: 8426465972 Enrollment ID: I20210329001607 |
Provider Name | Kaiwen Jiang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366035750 PECOS PAC ID: 0648687103 Enrollment ID: I20210329001962 |
Provider Name | Arkay M Lising |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689259798 PECOS PAC ID: 1052720125 Enrollment ID: I20210503001540 |
Provider Name | Syed M Quadri |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508215583 PECOS PAC ID: 9931492824 Enrollment ID: I20210507000892 |
Provider Name | Sean L Tuggle |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154852523 PECOS PAC ID: 0143591339 Enrollment ID: I20210901002452 |
Provider Name | Doris R Anukam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952637795 PECOS PAC ID: 8628474749 Enrollment ID: I20210914003479 |
Provider Name | Sahar Azim |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811428477 PECOS PAC ID: 2668743162 Enrollment ID: I20210923003502 |
Provider Name | Sidharth G Sharma |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396069050 PECOS PAC ID: 5395033542 Enrollment ID: I20211230001903 |
Provider Name | Patti Lynn Chervitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174190805 PECOS PAC ID: 0042601825 Enrollment ID: I20220105001955 |
Provider Name | Mark A Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639847049 PECOS PAC ID: 5092107474 Enrollment ID: I20220114000695 |
Provider Name | Elo Omakor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841701323 PECOS PAC ID: 0244586113 Enrollment ID: I20220614003007 |
Provider Name | Dax Wolford |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851742100 PECOS PAC ID: 1759790850 Enrollment ID: I20220622001207 |
Provider Name | Michael Ryan Wolfenbarger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497474605 PECOS PAC ID: 7719362094 Enrollment ID: I20220922002907 |
Provider Name | Rachel C Sussman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952021867 PECOS PAC ID: 1658748975 Enrollment ID: I20221029000121 |
Provider Name | Andrea Danielle Pinedo-johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548997109 PECOS PAC ID: 6406225093 Enrollment ID: I20221202001030 |
Provider Name | Elena Dimitrova Belova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487367561 PECOS PAC ID: 5698147544 Enrollment ID: I20230202002254 |
Provider Name | Najimu Akanni Akanji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780391482 PECOS PAC ID: 2365814746 Enrollment ID: I20230213000519 |
Provider Name | Christine Sapida |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598478174 PECOS PAC ID: 9537531926 Enrollment ID: I20230213001098 |
Provider Name | Wyatt Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598462533 PECOS PAC ID: 5597139543 Enrollment ID: I20230315000558 |
Provider Name | Amy Mari Tully |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083281430 PECOS PAC ID: 7618341421 Enrollment ID: I20230317001876 |
Provider Name | Idorenyin Philip |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639886583 PECOS PAC ID: 6800268236 Enrollment ID: I20230404001190 |
Provider Name | Mackenzie Rose Wolfe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770296345 PECOS PAC ID: 0345606703 Enrollment ID: I20230510001921 |
Provider Name | Yobel Asefaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114624509 PECOS PAC ID: 9032576103 Enrollment ID: I20230605002311 |
Provider Name | Nkemdilim N Nwofor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588361141 PECOS PAC ID: 3173980752 Enrollment ID: I20230613002940 |
Provider Name | Faris M Tahsin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255836672 PECOS PAC ID: 9133454143 Enrollment ID: I20230721003276 |
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