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RADIANT MIND NEURO AND PSYCHOLOGY CLINIC INC
NPI 1629879721
Clinical Neuropsychologist in San Diego, CA

Active since March 24, 2025
402 W BROADWAY STE 400, SAN DIEGO, CA 92101(619) 595-3100 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radiant Mind Neuro And Psychology Clinic Inc NPPES

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

RADIANT MIND NEURO AND PSYCHOLOGY CLINIC INC (NPI 1629879721) is a healthcare organization registered as a clinical neuropsychologist in San Diego, California and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Las Vegas and lists Melissa Rios, Owner, as its authorized official.

NPPES Registry Identity

NPI1629879721
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameRADIANT MIND NEURO AND PSYCHOLOGY CLINIC INC
Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554
Mailing Address3225 Mcleod Dr Ste 100Las Vegas, NV 89121-2257 · (424) 248-7139
Phone(619) 595-3100
Organization SubpartNo
Authorized OfficialMelissa RiosOwner · (424) 248-7139
Enumeration DateMarch 24, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1629879721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
402 W BROADWAY STE 400, San Diego, CA 92101
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Secondary Practice Location 1

Location 13225 McLeod Dr Ste 100Las Vegas, NV 89121-2257 · Phone (424) 248-7139

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

Other Providers at the Same Location NPPES 20

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

AMANDA ELIZONDO-FESSLER
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
KATHRYN CHRISTINE HERRERA LPCC
Counselor (Mental Health)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (760) 835-5563
MARY O'HERN MATULICH
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
NABIL BAIG D.O.
Hospitalist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (559) 898-2244
MICHELLE C DEFLORIMONTE FNP
Nurse Practitioner (Family)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (407) 920-0785
AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (619) 320-5776
CHANTAY CRAWFORD
Non-emergency Medical Transport (VAN)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (916) 941-5561
ANGELICA CRISTINA DOMINGUEZ
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978

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 Radiant Mind Neuro And Psychology Clinic Inc's NPI number?

The NPI number for Radiant Mind Neuro And Psychology Clinic Inc is 1629879721. It was assigned to this organization in the NPPES registry on March 24, 2025.

Where is Radiant Mind Neuro And Psychology Clinic Inc located?

Radiant Mind Neuro And Psychology Clinic Inc is located at 402 W Broadway Ste 400, San Diego, CA 92101. The listed phone number is (619) 595-3100.

What is Radiant Mind Neuro And Psychology Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Radiant Mind Neuro And Psychology Clinic Inc was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.