OrganizationActive
Psychophylaxis Institute LLC
NPI 1972017549 · Family Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1972017549
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mudalodu Vasudevan, Ceo(646) 688-3579
- License
- 4301102270 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2470 E Flamingo Rd Ste D
Las Vegas, NV 89121-5200
Phone: (702) 544-3849
Street-level locationGet directions
Mailing address
164 W Invitar Ln
Mountain House, CA 95391-2036
Registry dates
- Enumerated
- 2017-11-18
- Last updated
- 2017-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.