Provider Demographics
NPI:1053161257
Name:COUCH PSYCHIATRY, PC
Entity type:Organization
Organization Name:COUCH PSYCHIATRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NAYLOR
Authorized Official - Last Name:KENAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-270-6805
Mailing Address - Street 1:901 FREMONT ST APT 374
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-5439
Mailing Address - Country:US
Mailing Address - Phone:792-280-6805
Mailing Address - Fax:415-696-1090
Practice Address - Street 1:6330 W FLAMINGO RD UNIT 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2234
Practice Address - Country:US
Practice Address - Phone:702-280-6805
Practice Address - Fax:415-696-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty