Provider Demographics
NPI:1598379117
Name:WESTERN STATE BEHAVIORAL HEALTH AND PSYCHIATRIC SERVICES, INC
Entity type:Organization
Organization Name:WESTERN STATE BEHAVIORAL HEALTH AND PSYCHIATRIC SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:NEDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-476-5110
Mailing Address - Street 1:3910 PECOS MCLEOD
Mailing Address - Street 2:B-100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4304
Mailing Address - Country:US
Mailing Address - Phone:702-476-5110
Mailing Address - Fax:702-476-4770
Practice Address - Street 1:3910 PECOS MCLEOD STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4304
Practice Address - Country:US
Practice Address - Phone:702-629-7577
Practice Address - Fax:702-629-7616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty