RESTORED MIND PSYCHIATRIC SERVICES
NPI 1194306274
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since April 20, 2021
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107(702) 508-6608(702) 508-6643 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2023, Mar 9, 2023, Apr 20, 2021 (3 updates tracked since 2021).

About Restored Mind Psychiatric Services NPPES

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

RESTORED MIND PSYCHIATRIC SERVICES (NPI 1194306274) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since April 2021. The organization lists Ugoezi Bridget Agu, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1194306274
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRESTORED MIND PSYCHIATRIC SERVICES
Location Address500 N RAINBOW BLVD STE 300Las Vegas, NV 89107-1061
Mailing Address500 N Rainbow Blvd Ste 300Las Vegas, NV 89107-1061 · (702) 508-6608 · Fax (702) 508-6643
Fax(702) 508-6643
Organization SubpartNo
Authorized OfficialUgoezi Bridget AguNurse Practitioner · (702) 964-2122
Enumeration DateApril 20, 2021
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1194306274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
500 N RAINBOW BLVD STE 300, Las Vegas, NV 89107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restored Mind Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Restored Mind Psychiatric Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1467406868
500 N RAINBOW BLVD STE 300
Las Vegas, NV 89107
(702) 508-6608
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164752879
4270 S DECATUR BLVD STE B6
Las Vegas, NV 89103
(702) 485-2100
✔ PECOS✔ Accepts Medicare4.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restored Mind Psychiatric Services's NPI number?

The NPI number for Restored Mind Psychiatric Services is 1194306274. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Restored Mind Psychiatric Services located?

Restored Mind Psychiatric Services is located at 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107. The listed phone number is (702) 508-6608.

What is Restored Mind Psychiatric Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Restored Mind Psychiatric Services enrolled in Medicare?

Yes. Restored Mind Psychiatric Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restored Mind Psychiatric Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Restored Mind Psychiatric Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restored Mind Psychiatric Services was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.