HENDERSON PSYCHIATRY CORPORATION
NPI 1235906330
Nurse Practitioner - Psychiatric/Mental Health in Henderson, NV

Active since December 08, 2023
1070 WIGWAM PKWY STE 100, HENDERSON, NV 89074(702) 454-0201 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Henderson Psychiatry Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDERSON PSYCHIATRY CORPORATION (NPI 1235906330) is a healthcare organization registered as a psychiatric/mental health in Henderson, Nevada and active in the NPI registry since December 2023. The organization lists Ansy John, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235906330
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHENDERSON PSYCHIATRY CORPORATION
Location Address1070 WIGWAM PKWY STE 100Henderson, NV 89074-8178
Mailing Address9490 Stone Castle WayLas Vegas, NV 89123-5904 · (702) 883-0349
Organization SubpartNo
Authorized OfficialAnsy JohnCeo · (702) 454-0201
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1235906330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
1070 WIGWAM PKWY STE 100, Henderson, NV 89074

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henderson Psychiatry Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Henderson Psychiatry Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1407200413
2480 E TOMPKINS AVE STE 100
Las Vegas, NV 89121
(725) 724-2005
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1467805119
4045 SPENCER ST STE 116
Las Vegas, NV 89119
(702) 780-6200
✔ PECOS7.7 mi
Nurse Practitioner
NPI 1265660047
6355 S BUFFALO DR FL 3
Las Vegas, NV 89113
(702) 479-4881
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson Psychiatry Corporation's NPI number?

The NPI number for Henderson Psychiatry Corporation is 1235906330. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Henderson Psychiatry Corporation located?

Henderson Psychiatry Corporation is located at 1070 Wigwam Pkwy Ste 100, Henderson, NV 89074. The listed phone number is (702) 454-0201.

What is Henderson Psychiatry Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Henderson Psychiatry Corporation enrolled in Medicare?

Yes. Henderson Psychiatry Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henderson Psychiatry Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Henderson Psychiatry Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Henderson Psychiatry Corporation was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.