Organization Active NPI

Mind Space Mental Health LLC

Doing business as Mind Space Mental Health

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1326992348
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIND SPACE MENTAL HEALTH LLC
Doing business as
Mind Space Mental Health
Practice address
9510 W Sahara Ave Ste 225
Las Vegas, NV 89117-8812
Phone
(702) 518-5144
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Thomas W Fender III
Title
President
Phone
(702) 237-0216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

9510 W Sahara Ave Ste 225
Las Vegas, NV 89117-8812

Mailing address

9510 W Sahara Ave Ste 225
Las Vegas, NV 89117-8812

Other names 1

  • Mind Space Mental Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1326992348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 W SAHARA AVE STE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 W SAHARA AVE STE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178812",
            "telephone_number": "702-518-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND SPACE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-237-0216",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Space Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.