Individual provider Active NPI

Derald Farrimond, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1215901376
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11997 Issued in NV
Practice address
7324 W Cheyenne Ave Ste 7
Las Vegas, NV 89129-7426
Phone
(702) 575-9705
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11997 NV Primary

Addresses

Primary practice location

7324 W Cheyenne Ave Ste 7
Las Vegas, NV 89129-7426

Mailing address

8936 Spanish Ridge Ave
Las Vegas, NV 89148-1354
Phone (702) 998-2816

Other identifiers 1

IdentifierTypeStateIssuer
1215901376MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002000753 NV Order and Referring Only - PsychiatryPractitioner - Psychiatry 4981642196

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firstmed Health and Wellness Center IncGroup PAC ID 7416126362, 14 clinicians

Practice addresses (Care Compare)

3343 S Eastern Ave
Las Vegas, NV 89169-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11997NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firstmed Health and Wellness Center Inc Past Accepting new patients
Noble Behavioral Healthcare Inc PastSince Sep 8, 2016 Accepting new patients
Rush Organization Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEACA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1215901376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 SPANISH RIDGE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481354",
            "telephone_number": "702-998-2816",
            "fax_number": "702-998-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 W CHEYENNE AVE STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297426",
            "telephone_number": "702-575-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIMOND",
        "first_name": "DERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215901376",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.