KYLE MICHAEL CHADDICK
NPI 1073951786
Counselor - Mental Health in Las Vegas, NV
About Kyle Michael Chaddick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE MICHAEL CHADDICK (NPI 1073951786) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CP2985) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Michael Chaddick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyle Chaddick's NPI number?
The NPI number for Kyle Chaddick is 1073951786. It was assigned to this individual provider in the NPPES registry on June 5, 2013.
Where is Kyle Chaddick located?
Kyle Chaddick practices at 3680 N Rancho Dr, Las Vegas, NV 89130. The listed phone number is (702) 869-4300.
What is Kyle Chaddick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kyle Chaddick enrolled in Medicare?
Yes. Kyle Chaddick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kyle Chaddick was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kyle Michael Chaddick · NPI 1073951786
Mental Health provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 5, 2013.
## Identity
- **NPI:** 1073951786 (Entity type: Individual)
- **Enumerated:** June 5, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CP2985 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 3680 N RANCHO DR, Las Vegas, NV 89130
- **Phone:** (702) 869-4300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073951786) · Data from the CMS NPPES public registry.