Vitalmind Medical Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VITALMIND MEDICAL CENTER LLC

Practice address

2619 W Charleston Blvd Ste D
Las Vegas, NV 89102-2121

Phone

(702) 805-3059

Fax

(702) 846-5423

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daimara Arias SocarrasNPI 1821571688

Title

Managing Member

Phone

(786) 227-8640

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daimara Arias-Socarras

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1821571688
  Authorized official Same address or phone

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1710644877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 ZA ZU PITTS AVE UNIT 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891221687",
            "telephone_number": "786-227-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W CHARLESTON BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022121",
            "telephone_number": "702-805-3059",
            "fax_number": "702-846-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMIND MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "ARIAS SOCARRAS",
        "authorized_official_first_name": "DAIMARA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-227-8640"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality M12 LLC
• Vitality Medical and Wellness Center
• Vitality Medical Center
• Vitality Unlimited (Vitality Integrated Programs Las Vegas)
• Vitalmind Health Services LLC
• Vitalrise Behavioral Health, PLLC
• Vitalvida Primary Care
• Dan Rey Vitan
• Vitaphone U.S.a., Corporation
• Megan Vitellaro, DNP

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.