Active NPI
Frank Scot Elliott, M.D.
- Psychiatry Physician
- Henderson, NV
National Provider Identifier
1215909585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15797
- Practice address
- 1090 Wigwam Pkwy # 100
Henderson, NV 89074-8162 - Phone
- (702) 454-0201
- Fax
- (702) 454-1245
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15797 | NV | Primary |
| Psychiatry Physician | 2084P0800X | ME117433 | FL | |
| Psychiatry Physician | 2084P0800X | C54873 | CA |
Addresses
Primary practice location
1090 Wigwam Pkwy # 100
Henderson, NV 89074-8162
Mailing address
1090 Wigwam Pkwy # 100
Henderson, NV 89074-8162
Phone (702) 454-0201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54873 | CA | MD | Psychiatry Physician |
| ME117433 | FL | MD | Psychiatry Physician |
| 15797 | NV | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443830400000",
"number": "1215909585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 WIGWAM PKWY # 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748162",
"telephone_number": "702-454-0201",
"fax_number": "702-454-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 WIGWAM PKWY # 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748162",
"telephone_number": "702-454-0201",
"fax_number": "702-454-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "FRANK",
"middle_name": "SCOT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2015-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "15797",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME117433",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C54873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.