Radiant Mind Neuro and Psychology Clinic Inc
NPI 1629879721 · Clinical Neuropsychologist · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiant Mind Neuro and Psychology Clinic Inc is a Clinical Neuropsychologist organization in San Diego, CA (NPI 1629879721).
Provider details
- NPI number
- 1629879721
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Rios, Owner(424) 248-7139
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 3225 Mcleod Dr Ste 100Las Vegas, NV 89121-2257Phone: (424) 248-7139
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-08-20
- Certified
- 2025-07-21
Frequently asked questions
- What is Radiant Mind Neuro and Psychology Clinic Inc's NPI number?
- Radiant Mind Neuro and Psychology Clinic Inc's National Provider Identifier (NPI) is 1629879721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Mind Neuro and Psychology Clinic Inc?
- Radiant Mind Neuro and Psychology Clinic Inc is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Radiant Mind Neuro and Psychology Clinic Inc located?
- Radiant Mind Neuro and Psychology Clinic Inc's practice location on file with NPPES is 402 W Broadway Ste 400, San Diego, CA 92101-3554.
- What is Radiant Mind Neuro and Psychology Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Radiant Mind Neuro and Psychology Clinic Inc is (619) 595-3100.
- Does Radiant Mind Neuro and Psychology Clinic Inc accept Medicare?
- Radiant Mind Neuro and Psychology Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radiant Mind Neuro and Psychology Clinic Inc?
- The authorized official listed on Radiant Mind Neuro and Psychology Clinic Inc's NPPES record is Melissa Rios, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Mind Neuro and Psychology Clinic Inc's NPI active?
- Yes — Radiant Mind Neuro and Psychology Clinic Inc's NPI (1629879721) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.