Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wyatt Clark

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598462533

Wyatt Clark is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Alliance Mental Health Specialists Suba Park Cheng PLLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2023
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Practice location Address checks out

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone: (702) 485-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 817043 (NV)

Record details

NPI number1598462533
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alliance Mental Health Specialists Suba Park Cheng Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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