CHANGING MINDS PSYCHIATRY
NPI 1023627734
Nurse Practitioner - Community Health in Henderson, NV

Active since July 28, 2020CLIA Certified · 4 labs
2960 W HORIZON RIDGE PKWY, HENDERSON, NV 89052(702) 405-8088 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Jul 28, 2020 (2 updates tracked since 2020).

About Changing Minds Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGING MINDS PSYCHIATRY (NPI 1023627734) is a healthcare organization registered as a community health in Henderson, Nevada and active in the NPI registry since July 2020. The organization holds 4 active CLIA laboratory certificates and lists Jamie Brown, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1023627734
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameCHANGING MINDS PSYCHIATRY LLC
Location Address2960 W HORIZON RIDGE PKWYHenderson, NV 89052-4666
Mailing AddressPo Box 752003Las Vegas, NV 89136-2003 · (702) 405-8088
Organization SubpartYes
Authorized OfficialJamie BrownBusiness Manager · (702) 405-8088
Enumeration DateJuly 28, 2020
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1023627734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2960 W HORIZON RIDGE PKWY, Henderson, NV 89052

Other Names 1

Doing Business AsChanging Minds Psychiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2275527

Changing Minds Psychiatry, LLC · Henderson, NV
Active · expires Jan 23, 2027
CLIA Number29D2275527
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorNicole R. Vaughn
Laboratory Phone(702) 405-8088
Laboratory LocationChanging Minds Psychiatry, LLC2960 W Horizon Ridge Pkwy, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2261122

Changing Minds LLC · N Las Vegas, NV
Active · expires May 25, 2028
CLIA Number29D2261122
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorNicole R. Vaughn
Laboratory Phone(702) 405-8088
Laboratory LocationChanging Minds LLC2535 W Cheyenne Ave Suite 102, N Las Vegas, NV 89032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2340641

Changing Minds Psychiatry Reno · Reno, NV
Active · expires Mar 18, 2028
CLIA Number29D2340641
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorNicole R. Vaughn
Laboratory Phone(702) 405-8088
Laboratory LocationChanging Minds Psychiatry Reno164 Hubbard Way Unit B, Reno, NV 89502
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2154642

Changing Minds LLC · Las Vegas, NV
Active · expires Sep 16, 2026
CLIA Number29D2154642
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorNicole R. Vaughn
Laboratory Phone(702) 405-8088
Laboratory LocationChanging Minds LLC911 N Buffalo Dr Unit 206, Las Vegas, NV 89128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Psychiatry & Neurology (Psychiatry)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Social Worker (Clinical)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changing Minds Psychiatry LLC's NPI number?

The NPI number for Changing Minds Psychiatry LLC is 1023627734. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Changing Minds Psychiatry.

Where is Changing Minds Psychiatry LLC located?

Changing Minds Psychiatry LLC is located at 2960 W Horizon Ridge Pkwy, Henderson, NV 89052. The listed phone number is (702) 405-8088.

What is Changing Minds Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Does Changing Minds Psychiatry LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Changing Minds Psychiatry LLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.