Individual provider Active NPI

Robert John Mendenhall, DO

  • Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1487996955
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO1996 Issued in NV
Practice address
1090 Wigwam Pkwy
Henderson, NV 89074-8162
Phone
(702) 454-0201
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 DO1996 NV Primary

Addresses

Primary practice location

1090 Wigwam Pkwy
Henderson, NV 89074-8162

Mailing address

1090 Wigwam Pkwy
Henderson, NV 89074-8162
Phone (702) 454-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160219000608 NV Practitioner - Psychiatry 4789803859 Practice locations: Henderson, NV
I20170713003690 UT Practitioner - Psychiatry 4789803859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
TMS Solutions IncGroup PAC ID 6002113057, 8 clinicians

Practice addresses (Care Compare)

1157 N 300
Suite 301
Provo, UT 84604-6124
Phone (801) 714-3422

5117 S 1500
Riverdale, UT 84405-3926
Phone (844) 200-7011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1996NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jul 14, 2017 Accepting new patients
TMS Solutions Inc Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
Path Up Health LLC Current Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Jul 14, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Mendenhall Health LLC Current Accepting new patients
Steps Recovery Centers Past Accepting new patients

Locations

98 N 1100 E
American Fork, UT 84003
Phone (801) 235-7246

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

395 W Cougar Blvd
Ste 601
Provo, UT 84604
Phone (801) 357-7525

1157 N 300 W
Ste 301
Provo, UT 84604
Phone (801) 357-1200

1308 N Freedom Blvd
Provo, UT 84604
Phone (801) 618-2445

5117 S 1500 W
Riverdale, UT 84405

765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005

Organizations & group practices 7

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1487996955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748162",
            "telephone_number": "702-454-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748162",
            "telephone_number": "702-454-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.