NPIMap

Organization Active NPI

Newway Neurotherapy Health and Wellness

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1114589892
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEWWAY NEUROTHERAPY HEALTH AND WELLNESS
Practice address
5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone
(702) 745-8235
NPI assigned
Jul 3, 2019
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neyky Fernandez-GonzalezNPI 1811346380
Title
Ceo
Phone
(702) 410-5090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248

Mailing address

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone (702) 745-8235

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANnotes Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716003626 NV Part B Supplier - Clinic/Group Practice 6800121690 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Newway Neurotherapy Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1114589892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-745-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-745-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWWAY NEUROTHERAPY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-GONZALEZ",
        "authorized_official_first_name": "NEYKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-410-5090"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ICANnotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5130 S Pecos Rd Ste 1B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891201248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.