Opulent Mind Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPULENT MIND CENTER

Practice address

3136 Via Festiva
Henderson, NV 89044-0283

Phone

(330) 714-8926

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Jason Andrew Santiago

Title

Agency Owner

Phone

(330) 714-8926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1346737103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 VIA FESTIVA",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440283",
            "telephone_number": "330-714-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 VIA FESTIVA",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440283",
            "telephone_number": "330-714-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT MIND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "AGENCY OWNER",
        "authorized_official_telephone_number": "330-714-8926"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.