Organization Active NPI

A Purposeful Mind

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1396307401
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A PURPOSEFUL MIND
Practice address
3925 N MLK Blvd Ste 122
North Las Vegas, NV 89032-7675
Phone
(661) 526-8453
NPI assigned
Jun 28, 2019
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Yolanda Standifer
Title
Owner
Phone
(661) 526-8453

Specialties & licenses 1

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

Addresses

Primary practice location

3925 N MLK Blvd Ste 122
North Las Vegas, NV 89032-7675

Mailing address

3925 N MLK Blvd Ste 122
North Las Vegas, NV 89032-7675
Phone (661) 526-8453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1396307401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 122",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "661-526-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 122",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "661-526-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PURPOSEFUL MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "STANDIFER",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-526-8453"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.