State of Mind Mental Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20161110505 Issued in NV

Legal business name

STATE OF MIND MENTAL HEALTH SERVICES

Practice address

3651 Lindell Rd Ste D
Las Vegas, NV 89103-1200

Phone

(702) 943-0318

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

K Walker

Title

Office Manager

Phone

(562) 595-2440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1285094946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 AUTUMN STAR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452433",
            "telephone_number": "562-595-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031200",
            "telephone_number": "702-943-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MIND MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-595-2440"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161110505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• State Medical Equipment Limited Liability Company (State Medical Equipment)
• State of Health NV LLC (State of Health NV)
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)
• State of Nevada (Southern Nevada Adult Mental Health Services)
• State of Nevada (Southern Nevada Adult Mental Health Services)
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.