| Nevada Mental Health | |
|
6600 W Charleston Blvd Ste 140 Las Vegas NV 89146-1067 | |
| (725) 246-1483 | |
| (866) 518-0781 |
| Full Name | Nevada Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6600 W Charleston Blvd Ste 140, Las Vegas, Nevada |
| Authorized Official Name and Position | Timothy Benjamin James Jeider (OWNER) |
| Authorized Official Contact | 7024408430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Mental Health 840 S Rancho Dr Ste 4-903 Las Vegas NV 89106-3837 Ph: (702) 440-8840 | Nevada Mental Health 6600 W Charleston Blvd Ste 140 Las Vegas NV 89146-1067 Ph: (725) 246-1483 |
| NPI Number | 1053880856 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 1557601978 |
|---|---|
| Medicare Enrollment ID | O20190321002980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053880856 | NPI | - | NPPES |
| 1053880856 | Medicaid | NV |
| Provider Name | Sapandeep Khurana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669649778 PECOS PAC ID: 2264669936 Enrollment ID: I20131230001798 |
| Provider Name | Sean Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997926 PECOS PAC ID: 3678794328 Enrollment ID: I20141021002070 |
| Provider Name | Timothy Jeider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902149248 PECOS PAC ID: 9931329570 Enrollment ID: I20170818001503 |
| Provider Name | Kevin C Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316364672 PECOS PAC ID: 3274753074 Enrollment ID: I20180628000932 |
| Provider Name | Audrey C Shilander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053705293 PECOS PAC ID: 2668788837 Enrollment ID: I20200302001528 |
| Provider Name | Syed M Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508215583 PECOS PAC ID: 9931492824 Enrollment ID: I20210507000892 |
| Provider Name | Christine Yvette Pebbles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457962227 PECOS PAC ID: 3870996572 Enrollment ID: I20210722003814 |
| Provider Name | Paul Y Smithedajkul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609372549 PECOS PAC ID: 8325396518 Enrollment ID: I20220902000974 |
| Provider Name | Kenney Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952835514 PECOS PAC ID: 5991076051 Enrollment ID: I20221003001921 |
| Provider Name | Samantha Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720512593 PECOS PAC ID: 8022389188 Enrollment ID: I20221005003226 |
| Provider Name | Amanda King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740641661 PECOS PAC ID: 6305133679 Enrollment ID: I20221020002335 |
| Provider Name | Tina Goodson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467650358 PECOS PAC ID: 4789803669 Enrollment ID: I20221026000495 |
| Provider Name | Bradley G Goodson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558569442 PECOS PAC ID: 0042475147 Enrollment ID: I20221228001823 |
| Provider Name | Tyler Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871957100 PECOS PAC ID: 8224311535 Enrollment ID: I20230106002136 |
| Provider Name | Alexa Carrozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088205 PECOS PAC ID: 2769857895 Enrollment ID: I20230403002477 |
| Provider Name | Chad Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578927679 PECOS PAC ID: 2860730827 Enrollment ID: I20230614002670 |
| Provider Name | Nina N Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265936652 PECOS PAC ID: 2365790565 Enrollment ID: I20230728001318 |
| Provider Name | Natalie Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285193094 PECOS PAC ID: 5395070593 Enrollment ID: I20230829002954 |
| Provider Name | Lauren Grace Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508018060 PECOS PAC ID: 8628415627 Enrollment ID: I20240326003919 |
| Provider Name | Ayodele Olufemi Ogunlela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487277091 PECOS PAC ID: 6709224140 Enrollment ID: I20240404002565 |
| Provider Name | Tiffani L Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063279461 PECOS PAC ID: 0042659617 Enrollment ID: I20240415004130 |
| Provider Name | Jesus Daniel Del Val |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194358192 PECOS PAC ID: 9032570361 Enrollment ID: I20240613003312 |
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