Organization Active NPI

Red Rock Psychological Health, LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1295073724
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5480-C Issued in NV
Legal business name
RED ROCK PSYCHOLOGICAL HEALTH, LLC
Practice address
1515 E Tropicana Ave Ste 580
Las Vegas, NV 89119-6517
Phone
(702) 898-5311
Fax
(702) 222-3275
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Melissa Webb, LCSWNPI 1811142664
Title
Manager
Phone
(702) 898-5311

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5480-C NV Primary

Addresses

Primary practice location

1515 E Tropicana Ave Ste 580
Las Vegas, NV 89119-6517

Mailing address

1515 E Tropicana Ave Ste 580
Las Vegas, NV 89119-6517
Phone (702) 898-5311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000603 NV Part B Supplier - Clinic/Group Practice 4880830348 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1515 E Tropicana Ave
Ste 580
Las Vegas, NV 89119
Phone (702) 290-2625

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1295073724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE STE 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE STE 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK PSYCHOLOGICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-898-5311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5480-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 27, 2022; 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.