Minds Matter LV, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDS MATTER LV, LLC

Practice address

6130 Elton Ave
Las Vegas, NV 89107-2538

Phone

(702) 475-7442

Fax

(702) 475-7436

NPI assigned

Jul 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Smith

Title

Manager

Phone

(503) 689-7577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1720462500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 ELTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 ELTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072538",
            "telephone_number": "702-475-7442",
            "fax_number": "702-475-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS MATTER LV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-689-7577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindshift Psychiatry PLLC
• Mindspring Therapy, LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.