CAPISTRANO - NPI 1306638754 - Psychologist in Las Vegas, NV

Q: 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.

Q: What is Capistrano's specialty?

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

Q: 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 2 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.

On this page

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

Phone(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

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMIKO DT PHILLIPS

Rehabilitation Practitioner