MEDICARE: TINA SAJADI MSN,PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	851156	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952061202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA SAJADI MSN,PMHNP-BC

Provider Business Mailing Address
First Line	:	3651 LINDELL RD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1200
Country	:	US
Telephone Number	:	725-666-3717
Fax Number	:	725-302-5174

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1200
Country	:	US
Telephone Number	:	725-666-3717
Fax Number	:	725-302-5174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2021
Last Update Date	:	03/05/2026

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