Organization Active NPI

Peace of Mind Behavioral, LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609576743
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PEACE OF MIND BEHAVIORAL, LLC
Practice address
4525 S Sandhill Rd Ste 103
Las Vegas, NV 89121-5955
Phone
(702) 902-0304
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Osmel Villarreal
Title
President - Director of Operations
Phone
(702) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

4525 S Sandhill Rd Ste 103
Las Vegas, NV 89121-5955

Mailing address

4525 S Sandhill Rd Ste 103
Las Vegas, NV 89121-5955
Phone (702) 000-0000

National Provider Directory

National Provider Directory

Locations

4525 S Sandhill Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 493-8865

1515 E Tropicana Ave
Ste 345B
Las Vegas, NV 89119

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1609576743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215955",
            "telephone_number": "702-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215955",
            "telephone_number": "702-902-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "OSMEL",
        "authorized_official_title_or_position": "PRESIDENT - DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "702-000-0000"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Nov 29, 2024; 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.