Active NPI
Martin Fakiel, M.D.
- Psychiatry Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8062
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8062 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Change LLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1578842373
-
- Clinic/Center
- Las Vegas, NV
- NPI 1871352815
-
dba Center for Change
- Clinical Social Worker
- Las Vegas, NV
- NPI 1164083515
Psychiatry
-
dba University Health Speech Pathology and Audiology
- Speech-Language Pathologist
- Reno, NV
- NPI 1285129056
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.