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CHANGING MINDS PSYCHIATRY LLC NPI 1760993117


NPI Information

NPI: 1760993117
Provider Name: CHANGING MINDS PSYCHIATRY LLC

Doing Business As: CHANGING MINDS 82

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
911 N BUFFALO DR UNIT 213
LAS VEGAS, NV
ZIP 89128
Phone: (702) 405-8088
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CHANGING MINDS PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. CHANGING MINDS PSYCHIATRY LLC NPI is 1760993117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Changing Minds 82.

The provider's business location address is:

911 N BUFFALO DR UNIT 213
LAS VEGAS, NV
ZIP 89128-381
Phone: (702) 405-8088

The provider's authorized official is Jamie Brown .
The authorized official title is Business Manager and has the following contact phone number (702) 405-8088.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 1/3/2024.


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
1101Y00000XCounselorNo
2103G00000XClinical NeuropsychologistNo
3103T00000XPsychologistNo
4104100000XSocial WorkerNo
5106H00000XMarriage & Family TherapistNo
6106S00000XBehavior TechnicianNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8251B00000XCase ManagementNo
9251C00000XDay Training, Developmentally Disabled ServicesNo
10261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
11363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.