Organization
STARK MEDICINE MCKAY KHURANA JEIDER PLLC
Active
Other names
Nevada Mental Health, Nevada Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BENJAMIN JAMES JEIDER (OWNER)
(702) 350-2906
Entity
Organization
Contact information
Practice address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(725) 246-1483
(866) 518-0781
Mailing address
840 S RANCHO DR STE 4-903, LAS VEGAS, NV 89106-3837
(702) 440-8840
(866) 518-0781
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053880856
—
NV
Enumeration date
11/21/2018
Last updated
03/28/2025
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