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BRALLIAR PSYCHIATRIC ASSOCIATES PROFESSIONAL CORPORATION NPI 1588839203


NPI Information

NPI: 1588839203
Provider Name: BRALLIAR PSYCHIATRIC ASSOCIATES PROFESSIONAL CORPORATION
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2445 FIRE MESA ST
SUITE 270
LAS VEGAS, NV
ZIP 89128
Phone: (702) 876-9330
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BRALLIAR PSYCHIATRIC ASSOCIATES PROFESSIONAL CORPORATION is a psychiatry psychiatry neurology in Las Vegas, NV. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BRALLIAR PSYCHIATRIC ASSOCIATES PROFESSIONAL CORPORATION NPI is 1588839203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2445 FIRE MESA ST
SUITE 270
LAS VEGAS, NV
ZIP 89128-014
Phone: (702) 876-9330
Fax: (702) 876-9061

The provider's authorized official is Lorretto Eileen Owen .
The authorized official title is Credentialer and has the following contact phone number (702) 838-3889.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry815NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11578520896OTHERNEVADAPERSONAL NPI
2002019185MEDICAIDNEVADA
3V30290MEDICARE PIN
4F25192MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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