Individual provider Active NPI

Martin Fakiel, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1972787000
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8062 Issued in NV
Practice address
410 S Rampart Blvd
Suite 390
Las Vegas, NV 89145-5726
Phone
(702) 326-1116
Fax
(702) 726-6874
NPI assigned
Dec 26, 2007
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 8062 NV Primary

Addresses

Primary practice location

410 S Rampart Blvd
Suite 390
Las Vegas, NV 89145-5726

Mailing address

410 S Rampart Blvd
Suite 390
Las Vegas, NV 89145-5726
Phone (702) 326-1116

Other practice location 1

3016 W Charleston Blvd
Suite 150
Las Vegas, NV 89102
Phone (702) 790-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8062NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Change LLC Psychiatry CurrentSince May 9, 2021 Accepting new patients
Comprehensive Psychiatry of Southern Nevada, LLC Psychiatry Current Accepting new patients
MH Behavioral Health Services (Fakiel) PLLC Current Accepting new patients
Renown Medical School Associates North, Inc. Past Accepting new patients

Locations

410 S Rampart Blvd
Ste 390
Las Vegas, NV 89145
Phone (702) 722-2200

4535 W Russell Rd
Ste 15
Las Vegas, NV 89118
Phone (702) 368-2380

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1972787000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD",
            "address_2": "SUITE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455726",
            "telephone_number": "702-326-1116",
            "fax_number": "702-726-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD",
            "address_2": "SUITE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455726",
            "telephone_number": "702-326-1116",
            "fax_number": "702-726-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 W Charleston Blvd",
            "address_2": "SUITE 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89102",
            "country_code": "US",
            "telephone_number": "702-790-2701",
            "fax_number": "702-790-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKIEL",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "8062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.