MEDICARE: RED ROCK NEUROPSYCHIATRIC CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1114701976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED ROCK NEUROPSYCHIATRIC CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	725-308-8465
Fax Number	:	725-205-1977

Provider Business Practice Location Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-728-1328
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	DR. FERNANDO MENDEZ
Credential	:	MD
Telephone Number	:	702-728-1328

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	02/09/2026

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