=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114701976
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RED ROCK NEUROPSYCHIATRIC CONSULTANTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2023
-----------------------------------------------------
Last Update Date | 05/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7312 W CHEYENNE AVE STE 5
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89129-7425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-728-1328
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7312 W CHEYENNE AVE STE 5
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89129-7425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 725-308-8465
-----------------------------------------------------
Fax | 725-205-1977
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | DR. FERNANDO MENDEZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 702-728-1328
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0804X
-----------------------------------------------------
Taxonomy Name | Child & Adolescent Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------