Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STARK MEDICINE KHURANA JEIDER PLLC
NPI 1053880856
Psychiatry & Neurology - Child & Adolescent Psychiatry in Las Vegas, NV

Q: What is Stark Medicine Khurana Jeider PLLC's NPI number?

The NPI number for Stark Medicine Khurana Jeider PLLC is 1053880856. It was assigned to this organization in the NPPES registry on November 21, 2018. The provider is doing business as Nevada Mental Health.

Q: What is Stark Medicine Khurana Jeider PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since November 21, 2018

6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146(725) 246-1483(866) 518-0781 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2026, Sep 1, 2026, Jul 17, 2026 and 8 more (11 updates tracked since 2018).

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About Stark Medicine Khurana Jeider Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARK MEDICINE KHURANA JEIDER PLLC (NPI 1053880856), doing business as Nevada Mental Health, is a healthcare organization registered as a child & adolescent psychiatry in Las Vegas, Nevada and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Las Vegas and lists Timothy Benjamin James Jeider, Owner, as its authorized official.

NPPES Registry Identity

NPI1053880856

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameSTARK MEDICINE KHURANA JEIDER PLLC

Location Address6600 W CHARLESTON BLVD STE 140Las Vegas, NV 89146-1067

Mailing Address840 S Rancho Dr Ste 4-903Las Vegas, NV 89106-3837 · (702) 440-8840 · Fax (866) 518-0781

Phone(725) 246-1483

Fax(866) 518-0781

Organization SubpartNo

Authorized OfficialTimothy Benjamin James JeiderOwner · (702) 350-2906

Enumeration DateNovember 21, 2018

Last NPPES UpdateSeptember 18, 202611 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1053880856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

6600 W CHARLESTON BLVD STE 140, Las Vegas, NV 89146

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Other Names 1

Doing Business AsNevada Mental Health

Secondary Practice Location 1

Location 1526 S Tonopah Dr Ste 200Las Vegas, NV 89106-4013 · Phone (725) 246-1483 · Fax (866) 518-0781

Other Identifiers 1

Medicaid1053880856NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stark Medicine Khurana Jeider Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 34 clinicians reassign Medicare billing to Stark Medicine Khurana Jeider PLLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Psychiatry23

Nurse Practitioner10

Internal Medicine1

Nearest to this location (20)

See all 34

Alexa Carrozza, APRN

Nurse Practitioner

NPI 1275088205

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Emily Dorin

Psychiatry

NPI 1285212654

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Derek Johnson, APRN

Nurse Practitioner

NPI 1811846611

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(320) 260-7472

✔ PECOSSame address

Vanessa Mariasis, PMHNP-BC

Nurse Practitioner

NPI 1003672072

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Komal Pordal, MD

Psychiatry

NPI 1669058400

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Angela Rupp, RN

Nurse Practitioner

NPI 1205466752

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Dallin Johnson, PMHNP-BC

Nurse Practitioner

NPI 1730910415

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Tiffani Laird, APRN, PMHNP-BC

Nurse Practitioner

NPI 1063279461

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Natalie Phan, MD

Psychiatry

NPI 1285193094

6600 W CHARLESTON BLVD STE 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Kenney Vu, D.O.

Psychiatry

NPI 1952835514

6600 W CHARLESTON BLVD # 142
Las Vegas, NV 89146

(702) 440-8430

✔ PECOS✔ Accepts MedicareSame address

Samantha Vu, D.O.

Psychiatry

NPI 1720512593

6600 W CHARLESTON BLVD
Las Vegas, NV 89146

(702) 757-4370

✔ PECOS✔ Accepts MedicareSame address

Sean Elder, APRN

Nurse Practitioner

NPI 1770997926

6161 W CHARLESTON BLVD
Las Vegas, NV 89146

(702) 486-0452

✔ PECOS0.8 mi

Kevin Reyes

Psychiatry

NPI 1316364672

6171 W CHARLESTON BLVD BLDG 17
Las Vegas, NV 89146

(702) 670-0588

✔ PECOS✔ Accepts Medicare0.9 mi

Syed Quadri, M.D.

Psychiatry

NPI 1508215583

6171 W CHARLESTON BLVD
Las Vegas, NV 89146

(702) 486-6100

✔ PECOS✔ Accepts Medicare0.9 mi

Colin Freedman, M.D.

Psychiatry

NPI 1639600166

3016 W CHARLESTON BLVD STE 150
Las Vegas, NV 89102

(702) 790-2701

✔ PECOS✔ Accepts Medicare3.3 mi

Tina Goodson, M.D.

Psychiatry

NPI 1467650358

2810 W CHARLESTON BLVD SUITE 78
Las Vegas, NV 89102

(702) 968-5084

✔ PECOS✔ Accepts Medicare3.4 mi

Kavosh Rouhani

Internal Medicine

NPI 1215431036

3100 N TENAYA WAY
Las Vegas, NV 89128

(702) 962-9540

✔ PECOS✔ Accepts Medicare3.7 mi

Amanda King, DO

Psychiatry

NPI 1740641661

526 S TONOPAH DR STE 200
Las Vegas, NV 89106

(702) 440-8430

✔ PECOS✔ Accepts Medicare4.0 mi

Leanne Salanga, MD

Psychiatry

NPI 1588227847

1800 W CHARLESTON BLVD
Las Vegas, NV 89102

(702) 929-3427

✔ PECOS4.1 mi

Paul Smithedajkul, DO

Psychiatry

NPI 1609372549

1701 W CHARLESTON BLVD STE 290
Las Vegas, NV 89102

(702) 671-5127

✔ PECOS4.3 mi

See all 34 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stark Medicine Khurana Jeider PLLC's NPI number?

The NPI number for Stark Medicine Khurana Jeider PLLC is 1053880856. It was assigned to this organization in the NPPES registry on November 21, 2018. The provider is doing business as Nevada Mental Health.

Where is Stark Medicine Khurana Jeider PLLC located?

Stark Medicine Khurana Jeider PLLC is located at 6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146. The listed phone number is (725) 246-1483.

What is Stark Medicine Khurana Jeider PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Stark Medicine Khurana Jeider PLLC enrolled in Medicare?

Yes. Stark Medicine Khurana Jeider PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stark Medicine Khurana Jeider PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 3 Medicare specialties reassign their Medicare billing to Stark Medicine Khurana Jeider PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (23), Nurse Practitioner (10) and Internal Medicine (1). Of these, 11 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stark Medicine Khurana Jeider PLLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.