RICO FONTILLAS INC (NPI# 1043424443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043424443 |
| Entity Type | Organization |
| Organization Name | RICO FONTILLAS INC |
| Other Organization Name | RICARDO FONTILLAS MD |
| Practice Address |
1090 Wigwam Parkway #100 Henderson NV 89074 |
| Practice Telephone | 7024540201 |
| Practice Fax Number | 7024541245 |
| Mailing Telephone | 7024540201 |
| Mailing Fax Number | 7024541245 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | RICO FONTILLAS (OWNER) |
| Authorized Official Telephone | 7024540201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RICO FONTILLAS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
6501 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002019612 | 05 |
| Other Name | Type Code |
|---|---|
| Ricardo Fontillas MD | Doing Business As Name - Organization |
| Street Address |
1090 WIGWAM PARKWAY #100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275730251 | Lawrence Kapel,ph.d. Ltd | Psychologist | 1090 Wigwam Parkway, Suite 100, Henderson, NV 89074 | 2007-07-02 |
| 1275730269 | William Slagle,ph.d Ltd | Psychologist | 1090 Wigwam Parkway, Suite 100, Henderson, NV 89074 | 2007-07-02 |
| 1568669547 | Dodge A Slagle Do Ltd | Psychiatry & Neurology | 1090 Wigwam Parkway, Suite 100, Henderson, NV 89074 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861055956 | Wellpsyche Medical Group PC | Psychiatry & Neurology | 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | 2019-04-15 |
| 1982629762 | Ricardo Allen Fontillas | Psychiatry & Neurology | 1090 Wigwam Pkwy, Suite 100, Henderson, NV 89074-8181 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
| 1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
| 1265774921 | Amanda Lauren Melone | Psychiatry & Neurology | 2900 Sandestin Dr, Reno, NV 89523-2137 | 2013-03-20 |
| 1063760411 | Uzoma C Osuchukwu | Psychiatry & Neurology | 4310 W Cheyenne Ave Ste 100, N Las Vegas, NV 89032-2484 | 2012-08-16 |
| 1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
| 1598860306 | Arden D Dingle | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2006-09-14 |
| 1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
| 1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
| 1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
| 1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.