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

Vegas Innovative Psychiatry

Organization Psychologist · NPI 1558981068

Vegas Innovative Psychiatry is a Psychologist 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) 833-1088
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1558981068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Mitchell — Promgram Director · (702) 580-1850
Other names Vegas Innovative Psychiatry; Vegas Innovative Psychiatry
NPI enumeratedApril 24, 2020
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address2021 Paseo Del Prado, Suite A 120, Las Vegas, NV 89102-0045

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