OrganizationActive
Vegas Innovative Psychiatry
NPI 1558981068 · Psychologist · Las Vegas, NV
Vegas Innovative Psychiatry is a Psychologist organization in Las Vegas, NV (NPI 1558981068).
Provider details
- NPI number
- 1558981068
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Maria Mitchell, Promgram Director(702) 580-1850
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1721 E Charleston Blvd
Las Vegas, NV 89104-1902
Phone: (702) 833-1088
Street-level locationGet directions
Mailing address
2021 Paseo Del Prado
Las Vegas, NV 89102-0045
Other names (DBA / former)
- Former legal business name
- Vegas Innovative Psychiatry
- Doing business as
- Vegas Innovative Psychiatry
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2020-04-24
- Certified
- 2020-04-24
Frequently asked questions
- What is Vegas Innovative Psychiatry's NPI number?
- Vegas Innovative Psychiatry's National Provider Identifier (NPI) is 1558981068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vegas Innovative Psychiatry?
- Vegas Innovative Psychiatry is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Vegas Innovative Psychiatry located?
- Vegas Innovative Psychiatry's practice location on file with NPPES is 1721 E Charleston Blvd, Las Vegas, NV 89104-1902.
- What is Vegas Innovative Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Vegas Innovative Psychiatry is (702) 833-1088.
- Who is the authorized official for Vegas Innovative Psychiatry?
- The authorized official listed on Vegas Innovative Psychiatry's NPPES record is Maria Mitchell, Promgram Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vegas Innovative Psychiatry's NPI active?
- Yes — Vegas Innovative Psychiatry's NPI (1558981068) is active in the NPPES registry as of the last update on 2020-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.