Unknown Individual – Psychiatry Physician, NPI 1154452456
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 891021973
Phone:
Type: Mailing
701 SHADOW LN STE 200
LAS VEGAS, NV 891064178
Phone: (702) 383-2691
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-05-03 • Largest payer in this snapshot: ViiV Healthcare Company ($47).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $47 |
| Sumitomo Pharma America, Inc. | $8 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | NV | |
| - | NV | |
| Obstetrics/Gynecology, Family Practice | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| Family Practice | NV |
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