Organization Active NPI

A Renewed Mind

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1356793517
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20161402784 Issued in NV
Legal business name
A RENEWED MIND
Practice address
8610 S Maryland Pkwy
1034
Las Vegas, NV 89123-2709
Phone
(702) 610-5219
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Nicole Elan FinkleaNPI 1992133656
Title
Owner
Phone
(702) 610-5219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20161402784 NV Primary

Addresses

Primary practice location

8610 S Maryland Pkwy
1034
Las Vegas, NV 89123-2709

Mailing address

8610 S Maryland Pkwy
1034
Las Vegas, NV 89123-2709
Phone (702) 610-5219

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1356793517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 S MARYLAND PKWY",
            "address_2": "1034",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232709",
            "telephone_number": "702-610-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 S MARYLAND PKWY",
            "address_2": "1034",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232709",
            "telephone_number": "702-610-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RENEWED MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "FINKLEA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ELAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-610-5219"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161402784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 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.