NPIMap

Organization Active NPI

Glamourbrain Mental Health LLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1346925302
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GLAMOURBRAIN MENTAL HEALTH LLC
Practice address
7321 Aspire CT
Las Vegas, NV 89113-1183
Phone
(702) 518-3533
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Jorge Angel Garcia EstradaNPI 1083232615
Title
Owner
Phone
(702) 904-4296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7321 Aspire CT
Las Vegas, NV 89113-1183

Mailing address

7321 Aspire CT
Las Vegas, NV 89113-1183
Phone (702) 518-3533

Other names 1

  • GLAMOURBRAIN MENTAL HEALTH LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glamourbrain Mental Health LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1346925302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 ASPIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131183",
            "telephone_number": "702-518-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 ASPIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131183",
            "telephone_number": "702-518-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOURBRAIN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA ESTRADA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-904-4296"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLAMOURBRAIN MENTAL HEALTH LLC",
            "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 Jun 19, 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.