Individual provider Active NPI

Rommel Castro Cinco, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1629740626
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
845705 Issued in NV
Practice address
3200 Stewart Ave
Las Vegas, NV 89101-3701
Phone
(702) 385-1807
Fax
(702) 385-4044
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 845705 NV Primary

Addresses

Primary practice location

3200 Stewart Ave
Las Vegas, NV 89101-3701

Mailing address

3200 Stewart Ave
Las Vegas, NV 89101-3701
Phone (702) 385-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meilan L Daguman Aprn PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Behavioral Health Solutions LLC CurrentSince May 12, 2022 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince May 12, 2022 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

4560 S Eastern Ave
Ste 15
Las Vegas, NV 89119
Phone (702) 401-0811

Interoperability endpoints

  • Direct secure messaging: rommel.cinco.1@24259.direct.athenahealth.com

Organizations & group practices 3

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1629740626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STEWART AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013701",
            "telephone_number": "702-385-1807",
            "fax_number": "702-385-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STEWART AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013701",
            "telephone_number": "702-385-1807",
            "fax_number": "702-385-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCO",
        "first_name": "ROMMEL",
        "middle_name": "CASTRO",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "845705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.