Nicholas Shawn Carfagno, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY1047 Issued in NV

Practice address

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020

Phone

(702) 405-0904

Fax

(702) 405-0924

NPI assigned

Feb 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Calm Mind Therapy by Dr. Nick Carfagno, PLLC

  • Clinical Psychologist
  • Henderson, NV
  • NPI 1417747866
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1487993473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARVEY WEST BLVD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602103",
            "telephone_number": "831-425-8132",
            "fax_number": "831-425-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-405-0904",
            "fax_number": "702-405-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARFAGNO",
        "first_name": "NICHOLAS",
        "middle_name": "SHAWN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY1047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Art Home Care Nevada Inc
• Care Team LLC
• Caremore Health Plan
• Carepoint Dental
• Phyllis Carey
• Caring Friends Center LLC
• Caring Friends Home Care LLC
• Caring Medical Supply
• Caring Medical Supply LLC
• Caring Medical Supply, LLC

• Psychologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.