HIGH SIERRA PSYCHIATRY, LLC (NPI# 1235630864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235630864 |
Entity Type | Organization |
Organization Name | HIGH SIERRA PSYCHIATRY, LLC |
Practice Address |
Reno Behavioral Healthcare Hospital 6940 Sierra Center Parkway Reno NV 89511 |
Mailing Address |
1895 Carlentini Ct Reno NV 89519-8336 |
Practice Telephone | 7755714766 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2019-11-08 |
Authorized Official Name | DR. JEREMY MATUSZAK (PRESIDENT) |
Authorized Official Telephone | 7752253304 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
RENO BEHAVIORAL HEALTHCARE HOSPITAL 6940 SIERRA CENTER PARKWAY |
City | RENO |
State | NV |
Zip Code | 89511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
1780102418 | Paul Francis Fromherz | Specialist/Technologist | 3600 Butch Cassidy Way, Reno, NV 89511 | 2017-09-01 |
Find all providers in zip 89511 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366519720 | State of Nevada | Clinic/Center | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342119 | Eden Treatment, LLC | Clinic/Center | 4465 S Buffalo Dr Ste A, Las Vegas, NV 89147-5006 | 2020-10-05 |
1316551682 | Ignite Teen Treatment, LLC | Clinic/Center | 2761 Family Ct, Las Vegas, NV 89117-2601 | 2020-09-03 |
1841800554 | Reset Behavior LLC | Clinic/Center | 6471 American Eagle Ave, Las Vegas, NV 89131-3252 | 2020-08-06 |
1598373516 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 100b Rosaschi Rd, Yerington, NV 89447-8722 | 2020-07-15 |
1013538750 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 800 E Charleston Blvd, Las Vegas, NV 89104-1512 | 2020-05-05 |
1063984219 | Ignite Teen Treatment, LLC | Clinic/Center | 3621 Bahama Bay Ct, Las Vegas, NV 89147-6800 | 2018-12-28 |
1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
1144772393 | Alvarado Lopez | Clinic/Center | 818 E Flamingo Rd, #205, Las Vegas, NV 89119-7315 | 2016-11-03 |
1932585718 | Journeys Adolescent Services | Clinic/Center | 7500 W Lake Mead Blvd # 9-481, Las Vegas, NV 89128-0297 | 2015-08-04 |
1952674806 | Kekoa Inc | Clinic/Center | 7345 Falcon Rock Dr, Las Vegas, NV 89123-1470 | 2012-02-22 |
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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.