Vegas Innovative Psychiatry
Clinic/Center (Multi-Specialty)

Address: 2021 Paseo Del Prado, Suite A 120, Las Vegas, NV 89102-0045
Phone: 7025801850

Vegas Innovative Psychiatry (NPI# 1053931576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053931576
Entity Type Organization
Organization Name VEGAS INNOVATIVE PSYCHIATRY
Practice Address 2021 Paseo Del Prado
Suite A 120
Las Vegas
NV 89102-0045
Practice Telephone 7025801850
Mailing Address 2021 Paseo Del Prado
Suite A 120
Las Vegas
NV 89102-0045
Mailing Telephone 7025801850
Authorized Official Name Maria Fernanda Mitchell (PROGRAM DIRECTOR)
Authorized Official Telephone 7025801850
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-24
Last Update Date 2020-04-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
NV E6055912020-0 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Vegas Innovative Psychiatry Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1558981068 Vegas Innovative Psychiatry Psychologist 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 2020-04-24

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2021 PASEO DEL PRADO
SUITE A 120
City LAS VEGAS
State NV
Zip Code 89102-0045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922629765 Bianca Vaudreuil Religious Nonmedical Practitioner 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-05-04
1720608052 Angelica Gutierrez Technician Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
1780232694 Juan Manuel Perez Reyes Technician 4117 El Parque Ave, Las Vegas, NV 89102 2019-09-04
1205484979 Veronica Robles Contreras Technician 2881 S Valley View Blvd Suite #6, Las Vegas, NV 89102 2019-08-27
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Competitor

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City LAS VEGAS
Zip Code 89102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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