Exceptional Minds

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20171737643 Issued in NV

Legal business name

EXCEPTIONAL MINDS

Practice address

8325 Jeeves Cir
Las Vegas, NV 89149-4947

Phone

(602) 592-0503

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Dominque Ingram

Title

Owner

Phone

(602) 592-0503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1497268163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 JEEVES CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494947",
            "telephone_number": "602-592-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 JEEVES CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494947",
            "telephone_number": "602-592-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DOMINQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-592-0503"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171737643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.