Active NPI
The Wellness Center of Las Vegas, LLC
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1942086368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THE WELLNESS CENTER OF LAS VEGAS, LLC
- Doing business as
- The Wellness Center of Las Vegas
- Practice address
- 415 S Decatur Blvd Ste 415
Las Vegas, NV 89107-2812 - Phone
- (702) 462-2325
- NPI assigned
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Diago, NP
- Title
- Ceo
- Phone
- (725) 910-3725
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
415 S Decatur Blvd Ste 415
Las Vegas, NV 89107-2812
Mailing address
415 S Decatur Blvd Ste 415
Las Vegas, NV 89107-2812
Phone (702) 462-2325
Other names 1
- The Wellness Center of Las Vegas
National Provider Directory
National Provider Directory- Tax ID family
- The Wellness Center of Las Vegas LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1699470419
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1770278566
Locations
415 S Decatur Blvd
Ste 415
Las Vegas, NV 89107
Phone (702) 462-2325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1942086368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S DECATUR BLVD STE 415",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072812",
"telephone_number": "702-462-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S DECATUR BLVD STE 415",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072812",
"telephone_number": "702-462-2325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS CENTER OF LAS VEGAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "DIAGO",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "725-910-3725",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Wellness Center of Las Vegas",
"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 Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.