Stanley Kidiavayi is a Las Vegas, Nevada based nurse practitioner with 10 years of experience in Psych/Mental Health. He completed his graduation in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stanley Kidiavayi is APRN002072 for Family in Nevada. His current practice location is 801 S Rancho Dr Ste B1b, Las Vegas. Patients can reach him at 702-490-2398 or can fax him at 702-912-2273. Stanley Kidiavayi is APRN with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1902290968. Stanley Kidiavayi provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Stanley Kidiavayi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Stanley Kidiavayi
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Credentials:
APRN
Experience:
10+ years
Medical School Attended:
Other
Graduation Year:
2015
Accepts Medicare Assignment:
Yes
Practice Address:
801 S Rancho Dr Ste B1b, Las Vegas, Nevada, 89106-3871
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7416259551
Enrollment ID:
I20160506000245
NPI Number:
1902290968
NPI Enumeration Date:
26 Mar, 2015
NPI Last Update On:
26 Jan, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stanley Kidiavayi are as mentioned below.
License Number
Specialization
State
Status
APRN002072
Family
Nevada
Primary
APRN002072
Psych/Mental Health
Nevada
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stanley Kidiavayi is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Good Samaritan Family Practice (2365736196)
3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stanley Kidiavayi 801 S Rancho Dr Ste B1b, Las Vegas, Nevada
Zip:
89106-3871
Phone Number:
702-490-2398
Fax Number:
702-912-2273
Patients can reach Stanley Kidiavayi at 801 S Rancho Dr Ste B1b, Las Vegas, Nevada or can call to book an appointment on 702-490-2398.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.