Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1851402473
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
916, West Owens Avenue, West Las Vegas, Las Vegas, Clark County, Nevada, 89106, United States
VA, NORTH CLINIC
LAS VEGAS, NV 891062516
Phone: (702) 636-3000
Type: Location
2131, Americas Cup Circle, Buffalo, Las Vegas, Clark County, Nevada, 89117, United States
LAS VEGAS, NV 891171925
Phone: (702) 324-5084
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89106)
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