Organization Active NPI

The Wellness Center of Las Vegas, LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1942086368
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Sep 1, 2023

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Wellness Center of Las Vegas LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.