Healthcare Provider Details

I. General information

NPI: 1891174132
Provider Name (Legal Business Name): TELEMIND INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N RAINBOW BLVD STE 215
LAS VEGAS NV
89107-1189
US

IV. Provider business mailing address

800 N RAINBOW BLVD STE 215
LAS VEGAS NV
89107-1189
US

V. Phone/Fax

Practice location:
  • Phone: 725-333-2411
  • Fax: 702-952-5257
Mailing address:
  • Phone: 800-950-0026
  • Fax: 702-952-5257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTON FISHER
Title or Position: CEO
Credential: DO
Phone: 725-333-2411