NLV Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NLV WELLNESS CENTER

Practice address

8360 Clairemont Mesa Blvd
San Diego, CA 92111-1321

Phone

(619) 366-1546

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Tia RossNPI 1619461571

Title

Ceo

Phone

(619) 366-1546

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tia Ross

  • Assistant Behavior Analyst
  • Las Vegas, NV
  • NPI 1619461571
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1295435949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DEL SOL DR APT 467",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082974",
            "telephone_number": "619-366-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111321",
            "telephone_number": "619-366-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLV WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-366-1546"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquiline W Njagi-Brown, NP
• Jennifer Wanjiru Njeru
• Ugochi Njoku, RN
• Frank Nketsiah, PHARMD
• NLH Physical Therapy (Athletic Edge Physical Therapy)
• Nma Comprehensive Health Center
• NMC San Diego (San DG 32ND St Exchange Pharmacy)
• NMC San Diego (San DG NTC Pharmacy)
• NMC San Diego (San DG Navsta Pharmacy)
• NMC San Diego (Dod San Diego Pharmacy)

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.