Provider Demographics
NPI:1942445556
Name:P. JAMES SOMERS, MS, PA-C, LTD
Entity Type:Organization
Organization Name:P. JAMES SOMERS, MS, PA-C, LTD
Other - Org Name:NEVADA FAMILY PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:SOMERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PA-C
Authorized Official - Phone:702-349-8399
Mailing Address - Street 1:3315 E RUSSELL RD
Mailing Address - Street 2:SUITE A-4 #410
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3459
Mailing Address - Country:US
Mailing Address - Phone:702-349-8399
Mailing Address - Fax:702-537-5736
Practice Address - Street 1:2780 S JONES BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5628
Practice Address - Country:US
Practice Address - Phone:702-217-8030
Practice Address - Fax:702-537-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA658261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health