Organization Active NPI

Matthew Geromi, D.O., PC

  • Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1841672862
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MATTHEW GEROMI, D.O., PC
Practice address
1090 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8162
Phone
(702) 454-0201
NPI assigned
Jun 25, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Matthew Geromi, D.O.
Title
Psychiatrist
Phone
(702) 454-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1090 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8162

Mailing address

1090 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8162
Phone (702) 454-0201

National Provider Directory

National Provider Directory

Locations

1090 Wigwam Pkwy
#100
Henderson, NV 89074
Phone (702) 454-0201

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1841672862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PKWY",
            "address_2": "SUITE 100",
            "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",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748162",
            "telephone_number": "702-454-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW GEROMI, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "GEROMI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "702-454-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.