OMNI WELLCARE INCORPORATED NPI 1699573337

NPI Information

  • NPI: 1699573337
  • Provider Name: OMNI WELLCARE INCORPORATED
  • Classification: Psychiatry & Neurology - 2084B0040X
  • Specialization: Behavioral Neurology & Neuropsychiatry
  • Entity Type: Organization
  • Address: 1681 E FLAMINGO RD STE 1
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 573-3317

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NPI Details

OMNI WELLCARE INCORPORATED is a behavioral neurology and neuropsychiatry psychiatry neurology in Las Vegas, NV. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. OMNI WELLCARE INCORPORATED NPI is 1699573337. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1681 E FLAMINGO RD STE 1
LAS VEGAS, NV
ZIP 89119-274
Phone: (702) 573-3317

The provider's authorized official is Tracy Go .
The authorized official title is President and has the following contact phone number (702) 782-0376.

The enumeration date for this NPI number is 3/7/2025 and was last updated on 3/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes
2208D00000XGeneral PracticeNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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