Individual provider Active NPI

Cynthia White, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1245609957
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15579 Issued in NV
Practice address
9435 S Tenaya Way # B
Las Vegas, NV 89178-9237
Phone
(702) 210-2340
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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 15579 NV Primary

Addresses

Primary practice location

9435 S Tenaya Way # B
Las Vegas, NV 89178-9237

Mailing address

9435 S Tenaya Way # B
Las Vegas, NV 89178-9237
Phone (702) 210-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151208001609 TX Practitioner - Psychiatry 2163722539 Reassigns benefits to 1 organization
I20161025001979 WI Practitioner - Psychiatry 2163722539 Reassigns benefits to 1 organization
I20210427001335 GA Practitioner - Psychiatry 2163722539 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15579NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Nov 9, 2015 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Dec 1, 2025 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Dec 1, 2025 Accepting new patients
County of Wood CurrentSince Oct 21, 2016 Accepting new patients
Thoreau Clinic CurrentSince Nov 9, 2015 Accepting new patients
Sondermind Provider Network LLC Psychiatry CurrentSince Sep 15, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8250

1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179

1600 N Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-2188

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1245609957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 S TENAYA WAY # B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789237",
            "telephone_number": "702-210-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 S TENAYA WAY # B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789237",
            "telephone_number": "702-210-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "15579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.