COMMUNITY CARE SERVICES LLC (NPI# 1508337031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508337031 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES LLC |
| Practice Address |
75 Pringle Way Ste 401 Reno NV 89502-1476 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759822973 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | DAWN D AHNER (EVP AND CHIEF ADMIN OFFICER) |
| Authorized Official Telephone | 7759824404 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Health Medical Group - Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236840 | Community Care Services LLC | Counselor | 7356 Garners Ferry Rd Ste 130, Columbia, SC 29209-2146 | 2017-03-10 |
| 1538534037 | Community Care Services LLC | Exclusive Provider Organization | 1070 Henslow Ave N, Oakdale, MN 55128-5858 | 2015-12-09 |
| 1336746551 | Community Care Services LLC | Counselor | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2020-10-01 |
| 1083178065 | Community Care Services LLC | Emergency Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2019-01-24 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1851862288 | Community Care Services LLC | Pediatrics | 1343 Newlands Dr W, Fernley, NV 89408-8926 | 2018-12-11 |
| 1497226823 | Community Care Services LLC | Psychiatry & Neurology | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
| 1932670478 | Community Care Services LLC | Psychologist | 85 Kirman Ave Ste 200, Reno, NV 89502-1339 | 2018-12-10 |
| 1841761384 | Community Care Services LLC | Internal Medicine | 1500 E 2nd St Ste 201, Reno, NV 89502-1196 | 2018-12-10 |
| Street Address |
75 PRINGLE WAY STE 401 |
| City | RENO |
| State | NV |
| Zip Code | 89502-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053383331 | Peggie A Smith | Physician Assistant | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2006-02-02 |
| 1396386348 | Michael Seamon | Nurse Practitioner | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2019-10-01 |
| 1003396573 | Julie Hilario | Registered Nurse | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2018-08-15 |
| 1154717130 | Kevin Robert Chysna | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2015-04-07 |
| 1972921591 | Lee Gerwitz | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2014-04-01 |
| 1952745440 | Jose Antonio Mari-acevedo | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502 | 2013-04-26 |
| 1598024515 | Christopher Young Way | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2012-05-10 |
| 1124386156 | Natasa Dragicevic | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502 | 2012-04-27 |
| 1508132093 | Leah Kathryn Krull | Internal Medicine | 75 Pringle Way Ste 401, Reno, NV 89502 | 2012-03-28 |
| 1992093272 | Rachael Elizabeth Gardner | Nurse Practitioner | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962701219 | Byung Chan Thomas Ahn | Psychiatry & Neurology | 135 N Sierra St # 40595, Reno, NV 89501-1344 | 2011-03-24 |
| 1013177872 | Stephanie Colleen Jackson | Psychiatry & Neurology | 1950 Hope Valley Dr, Reno, NV 89521-3140 | 2008-06-13 |
| 1467507384 | Charles E Quaglieri | Psychiatry & Neurology | 330 E Liberty St, Suite 200, Reno, NV 89501-2260 | 2007-01-23 |
| 1902975923 | Steven E Rubin | Psychiatry & Neurology | 6119 Ridgeview Ct Ste 300, Reno, NV 89519-6328 | 2006-11-06 |
| 1407805401 | Timothy Jay Louie | Psychiatry & Neurology | 645 N Arlington Ave Ste 655, Reno, NV 89503-4444 | 2006-05-08 |
| 1578117362 | Culpepper Psychiatric Associates Pllc | Psychiatry & Neurology | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2019-07-30 |
| 1851952543 | Sameera Siddiqui | Psychiatry & Neurology | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-06-24 |
| 1154717130 | Kevin Robert Chysna | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2015-04-07 |
| 1295154219 | Burton Jared Tabaac | Psychiatry & Neurology | 1155 Mill St, Reno, NV 89502-1576 | 2014-04-08 |
| 1972921591 | Lee Gerwitz | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2014-04-01 |
| Find all providers in RENO | ||||
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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.