Nova Clinic LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NOVA CLINIC LLC

Practice address

1404 S Decatur Blvd
Las Vegas, NV 89102-8511

Phone

(702) 666-3894

Fax

(702) 666-3894

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Authorized official

Name

Yailen MatosNPI 1548024375

Title

Owner

Phone

(702) 666-3894

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Yailen Matos

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1548024375
  NPD Authorized official

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1851263743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-666-3894",
            "fax_number": "702-666-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-666-3894",
            "fax_number": "702-666-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "YAILEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-666-3894"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amal Jude Noureldine, DO
• Nourished Minds LLC
• Ashley Lynne Nourse
• Zari Noushadha
• Nova All Star, Inc.
• Nova Health Associates, LLC
• Nova Health Center LLC
• Nova Health Group PLLC
• Nova Healthcare Group LLC
• Amy Joanne Nova

• 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 Oct 22, 2025; 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.