Discovery Mind Center LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DISCOVERY MIND CENTER LTD

Practice address

3630 N Rancho Dr
Las Vegas, NV 89130-3152

Phone

(702) 202-0099

Fax

(702) 778-7632

NPI assigned

Oct 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew O Okeke, MD

Title

Owner

Phone

(702) 202-0099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Discovery Mind Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Discovery Mind Center LTD

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1548648439
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1124595145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-202-0099",
            "fax_number": "702-778-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303152",
            "telephone_number": "702-202-0099",
            "fax_number": "702-778-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MIND CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-202-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery 2000, Mersha P.C.
• Discovery ABA NV LLC
• Discovery Mind & Wellness Center
• Discovery Mind & Wellness Center, LLC
• Discovery Mind and Wellness
• Discovery Mind Center LTD
• Kayla Dishman
• William Alan Dishman, OD
• Hillary Disimone
• NA Diskin

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.