| Success Tms Of Nevada Pllc | |
|
9065 S Pecos Rd Ste 250 Henderson NV 89074-7189 | |
| (702) 903-4762 | |
| Not Available |
| Full Name | Success Tms Of Nevada Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9065 S Pecos Rd Ste 250, Henderson, Nevada |
| Authorized Official Name and Position | William Leonard (CEO) |
| Authorized Official Contact | 6197072276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Tms Of Nevada Pllc Po Box 950454 Saint Louis MO 63195-0454 Ph: (619) 707-2276 | Success Tms Of Nevada Pllc 9065 S Pecos Rd Ste 250 Henderson NV 89074-7189 Ph: (702) 903-4762 |
| NPI Number | 1104597202 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 0941691349 |
|---|---|
| Medicare Enrollment ID | O20211220000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104597202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sam Zand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528485570 PECOS PAC ID: 1557581352 Enrollment ID: I20170822003558 |
| Provider Name | Michael Popov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518351097 PECOS PAC ID: 0244546505 Enrollment ID: I20190626003953 |
| Provider Name | Kevin Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023096054 PECOS PAC ID: 4688804289 Enrollment ID: I20220111000185 |
| Provider Name | Grant Bullock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174086391 PECOS PAC ID: 9032444120 Enrollment ID: I20230717001897 |
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