| Newway Neurotherapy Health And Wellness | |
|
5130 S Pecos Rd Ste 1b Las Vegas NV 89120-1248 | |
| (702) 410-5090 | |
| Not Available |
| Full Name | Newway Neurotherapy Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 5130 S Pecos Rd Ste 1b, Las Vegas, Nevada |
| Authorized Official Name and Position | Neyky Fernandez-gonzalez (CEO) |
| Authorized Official Contact | 7027428235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newway Neurotherapy Health And Wellness 5005 Santo Ave Las Vegas NV 89108-1334 Ph: (702) 742-8235 | Newway Neurotherapy Health And Wellness 5130 S Pecos Rd Ste 1b Las Vegas NV 89120-1248 Ph: (702) 410-5090 |
| NPI Number | 1194223495 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 6800121690 |
|---|---|
| Medicare Enrollment ID | O20190716003626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194223495 | NPI | - | NPPES |
| NV20181040026 | Other | NV | STATE BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Martin D Fakiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972787000 PECOS PAC ID: 1254319544 Enrollment ID: I20040713000226 |
| Provider Name | Charles George Mahakian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881780724 PECOS PAC ID: 7315972361 Enrollment ID: I20050928001373 |
| Provider Name | Gregory D Burden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215174156 PECOS PAC ID: 4688854318 Enrollment ID: I20110211000553 |
| Provider Name | Francis O Raini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154613479 PECOS PAC ID: 2365786274 Enrollment ID: I20181204002010 |
| Provider Name | Virginia Betancourt-sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295358315 PECOS PAC ID: 7911329966 Enrollment ID: I20200716001839 |
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