CAPISTRANO
NPI 1306638754
Psychologist - Clinical in Las Vegas, NV

Active since May 21, 2025
2775 S JONES BLVD STE 101, LAS VEGAS, NV 89146(702) 685-3000 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Jul 9, 2025, Jun 19, 2025 and 1 more (4 updates tracked since 2025).

About Capistrano NPPES

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

CAPISTRANO (NPI 1306638754) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since May 2025. The organization lists Ward Kent Swallow, President, as its authorized official.

NPPES Registry Identity

NPI1306638754
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCAPISTRANO
Location Address2775 S JONES BLVD STE 101Las Vegas, NV 89146-5632
Mailing Address2775 S Jones Blvd Ste 101Las Vegas, NV 89146-5632 · (702) 685-3000
Organization SubpartNo
Authorized OfficialWard Kent SwallowPresident · (702) 481-4776
Enumeration DateMay 21, 2025
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1306638754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2775 S JONES BLVD STE 101, Las Vegas, NV 89146

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Capistrano, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1871626564
2775 S JONES BLVD STE 101
Las Vegas, NV 89146
(702) 380-8200
✔ PECOSSame address

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 Capistrano's NPI number?

The NPI number for Capistrano is 1306638754. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Capistrano located?

Capistrano is located at 2775 S Jones Blvd Ste 101, Las Vegas, NV 89146. The listed phone number is (702) 685-3000.

What is Capistrano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Capistrano enrolled in Medicare?

Yes. Capistrano is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capistrano?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Capistrano. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Capistrano was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.