Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vegas Innovative Psychiatry

Organization Multi-Specialty Clinic/Center · NPI 1053931576

Vegas Innovative Psychiatry is a Multi-Specialty Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1721 E Charleston Blvd
Las Vegas, NV 89104-1902
Phone: (702) 685-0620
Fax: (702) 685-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1053931576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Mitchell — Program Director · (702) 580-1850
Other names Vegas Innovative Psychiatry; Vegas Innovative Psychiatry
NPI enumeratedApril 24, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address1721 E Charleston Blvd, Las Vegas, NV 89104-1902

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