Las Vegas Psychiatry & Wellness Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAS VEGAS PSYCHIATRY & WELLNESS CENTER

Practice address

2310 Paseo del Prado
Suite A120
Las Vegas, NV 89102-0045

Phone

(702) 833-1087

Fax

(725) 205-5275

NPI assigned

Jul 25, 2019

Organization subpart

Yes

Parent organization

LAS VEGAS PSYCHIATRY & WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Maria Fernanda Mitchell, QMHANPI 1194167031

Title

Program Director

Phone

(702) 833-1088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Desert Behavioral Center Doing business as

Electronic endpoints 1

Tax ID family

Las Vegas Psychiatry Wellness Center2 organizations share this tax ID, including this one

Part of

Las Vegas Psychiatry Wellness Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Las Vegas Psychiatry & Wellness Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215382338
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Las Vegas Psychiatry & Wellness Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215382338
  NPPES parent name

Practitioners 1

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

• Maria Fernanda Mitchell

  • Counselor
  • Las Vegas, NV
  • NPI 1194167031
  NPD Authorized official

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1649824871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PASEO DEL PRADO",
            "address_2": "SUITE A120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020045",
            "telephone_number": "702-833-1087",
            "fax_number": "725-205-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PASEO DEL PRADO",
            "address_2": "SUITE A120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020045",
            "telephone_number": "702-833-1087",
            "fax_number": "725-205-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS PSYCHIATRY & WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAS VEGAS PSYCHIATRY & WELLNESS CENTER",
        "enumeration_date": "2019-07-25",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FERNANDA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "702-833-1088",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20161223225",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fernanda.m@grandpsych.com",
            "affiliation": "Y",
            "address_1": "2310 Paseo del Prado",
            "address_2": "Suite A120",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891020045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Desert Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.