Individual provider Active NPI

Ward Kent Swallow, PH.D.

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1871626564
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY0356 Issued in NV
Practice address
2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632
Phone
(702) 380-8200
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY0356 NV Primary

Addresses

Primary practice location

2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632

Mailing address

748 Descartes Ave
Henderson, NV 89015-6502

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040628001542 NV Practitioner - Clinical Psychologist 6507842630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY0356NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capistrano Clinical CurrentSince May 1, 2025 Accepting new patients
Porferia D Montesclaros, MD, LLC Past Accepting new patients
DGBH LLC Past Accepting new patients
Porferia Montesclaros MD LLC Past Accepting new patients
Talbert Medical Group Past Accepting new patients

Locations

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

Organizations & group practices 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1871626564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 DESCARTES AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S JONES BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465632",
            "telephone_number": "702-380-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALLOW",
        "first_name": "WARD",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PSY0356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.