NPIMap

Organization Active NPI

Mind Power Behavioral Services LLC

Doing business as Mind Power Medical Group

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1851871768
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MIND POWER BEHAVIORAL SERVICES LLC
Doing business as
Mind Power Medical Group
Practice address
8565 S Eastern Ave Ste 150
Las Vegas, NV 89123
Phone
(818) 932-4684
Fax
(888) 277-1901
NPI assigned
Aug 20, 2018
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Cristine Hernandez
Title
Ceo
Phone
(818) 932-4684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NV Primary
Nurse Practitioner 363L00000X NV

Addresses

Primary practice location

8565 S Eastern Ave Ste 150
Las Vegas, NV 89123

Mailing address

4570 S Eastern Ave Ste 28
Las Vegas, NV 89119-6183
Phone (702) 476-3345

Other names 1

  • Mind Power Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180927003094 NV Part B Supplier - Clinic/Group Practice 5890046916 Receives reassigned benefits from 12 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1851871768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 S EASTERN AVE STE 28",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196183",
            "telephone_number": "702-476-3345",
            "fax_number": "702-920-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "818-932-4684",
            "fax_number": "888-277-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND POWER BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-932-4684"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Power Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Power Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.