Active NPI
Gentle Minds of Nevada LLC
- Psychiatry Physician
- North Las Vegas, NV
National Provider Identifier
1699489112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GENTLE MINDS OF NEVADA LLC
- Practice address
- 3053 W Craig Rd Unit E-288
North Las Vegas, NV 89032-5124 - Phone
- (702) 683-4496
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Marc
- Title
- Director
- Phone
- (702) 683-4496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3053 W Craig Rd Unit E-288
North Las Vegas, NV 89032-5124
Mailing address
3053 W Craig Rd Unit E-288
North Las Vegas, NV 89032-5124
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1699489112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 W CRAIG RD UNIT E-288",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 W CRAIG RD UNIT E-288",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325124",
"telephone_number": "702-683-4496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE MINDS OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "MARC",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-683-4496"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"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 Jan 9, 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.