Organization Active NPI

Mind Haven Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1962313221
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND HAVEN BEHAVIORAL HEALTH LLC
Practice address
4405 La Reina Cir
Las Vegas, NV 89130-5101
Phone
(702) 502-5957
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Diana Rosa Ferra Mendez, TECH
Title
Owner
Phone
(702) 502-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4405 La Reina Cir
Las Vegas, NV 89130-5101

Mailing address

4405 La Reina Cir
Las Vegas, NV 89130-5101
Phone (702) 502-5957

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1962313221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 LA REINA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305101",
            "telephone_number": "702-502-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 LA REINA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305101",
            "telephone_number": "702-502-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HAVEN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "FERRA MENDEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-502-5957",
        "authorized_official_credential": "TECH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.