NPIMap

Organization Active NPI

Mind Body and Sports Connection

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1932522745
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5636-C Issued in NV
Legal business name
MIND BODY AND SPORTS CONNECTION
Practice address
3035 Lindell Rd
Las Vegas, NV 89146-6818
Phone
(702) 764-8878
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
LAS VEGAS SHOWGIRLZ LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dion A LeeNPI 1952668493
Title
Director
Phone
(702) 764-8878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5636-C NV Primary

Addresses

Primary practice location

3035 Lindell Rd
Las Vegas, NV 89146-6818

Mailing address

3035 Lindell Rd
Las Vegas, NV 89146-6818
Phone (702) 764-8878

National Provider Directory

National Provider Directory
Part of
Mind Body and Sports Connection

Practitioners & affiliated clinicians

Practitioners 2

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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1932522745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 LINDELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466818",
            "telephone_number": "702-764-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 LINDELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466818",
            "telephone_number": "702-764-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY AND SPORTS CONNECTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAS VEGAS SHOWGIRLZ LLC",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DION",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-764-8878"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5636-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 30, 2014; 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.