PEOPLES CHURCH
NPI 1386212900
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Active since June 11, 2021
304 S JONES BLVD, LAS VEGAS, NV 89107(413) 687-0507 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peoples Church NPPES

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

PEOPLES CHURCH (NPI 1386212900), doing business as Tidewater Wellness Center, is a healthcare organization registered as a psychiatry in Las Vegas, Nevada and active in the NPI registry since June 2021. The organization lists Chandra Platz, Owner, as its authorized official.

NPPES Registry Identity

NPI1386212900
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePEOPLES CHURCH
Location Address304 S JONES BLVDLas Vegas, NV 89107-2623
Mailing Address304 S Jones BlvdLas Vegas, NV 89107-2623
Organization SubpartNo
Authorized OfficialChandra PlatzOwner · (413) 687-0507
Enumeration DateJune 11, 2021
NPPES CertifiedMay 25, 2021
NPI 1386212900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

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.

Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
304 S JONES BLVD, Las Vegas, NV 89107

Other Names 1

Doing Business AsTidewater Wellness Center

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
304 S JONES BLVD
LAS VEGAS, NV 89107
Behavior Analyst
304 S JONES BLVD
LAS VEGAS, NV 89107
Behavior Analyst
304 S JONES BLVD
LAS VEGAS, NV 89107
Behavior Analyst
304 S JONES BLVD
LAS VEGAS, NV 89107
Behavior Technician
304 S JONES BLVD
LAS VEGAS, NV 89107
Anesthesiology
304 S JONES BLVD
LAS VEGAS, NV 89107
Behavior Technician
304 S JONES BLVD, SUITE 3465
LAS VEGAS, NV 89107

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 Peoples Church's NPI number?

The NPI number for Peoples Church is 1386212900. It was assigned to this organization in the NPPES registry on June 11, 2021. The provider is doing business as Tidewater Wellness Center.

Where is Peoples Church located?

Peoples Church is located at 304 S Jones Blvd, Las Vegas, NV 89107. The listed phone number is (413) 687-0507.

What is Peoples Church's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Peoples Church was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.