NPIMap

Organization Active NPI

Discovery Mind and Wellness

  • Health Maintenance Organization
  • Boulder City, NV
National Provider Identifier
1700213857
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
DISCOVERY MIND AND WELLNESS
Practice address
659 Avenue H
Boulder City, NV 89005-2725
Phone
(310) 591-0123
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Sandy Miller
Title
Direct Superviser
Phone
(702) 968-9372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

659 Avenue H
Boulder City, NV 89005-2725

Mailing address

659 Avenue H
Boulder City, NV 89005-2725
Phone (310) 591-0123

National Provider Directory

National Provider Directory
Tax ID family
Discovery Mind and Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1700213857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 AVENUE H",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052725",
            "telephone_number": "310-591-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 AVENUE H",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052725",
            "telephone_number": "310-591-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MIND AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DIRECT SUPERVISER",
        "authorized_official_telephone_number": "702-968-9372"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.