JASON JACKSON (NPI# 1619381548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619381548 |
Entity Type | Individual |
Full Name | JASON JACKSON |
Practice Address |
2470 Wrondel Way Ste 275 Reno NV 89502-3701 |
Practice Telephone | 7753543991 |
Practice Fax Number | 7753361082 |
Mailing Telephone | 7753543991 |
Mailing Fax Number | 7753361082 |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 4200227759 | NV | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912363458 | Jason Jackson | Technician, Pathology | 4 E Weald Ave, Bear, DE 19701-1664 | 2016-01-13 |
1871844191 | Jason Matthew Jackson | Physician Assistant | 930 W Ralph Hall Pkwy Ste 108, Rockwall, TX 75032-6664 | 2012-09-26 |
1932374428 | Jason Jackson | Physical Therapist | 2631 Cottage Creek Dr, Pearland, TX 77584-9801 | 2008-04-25 |
1508491614 | Jason A Jackson | Pharmacist | 416 S Tyler St, Amarillo, TX 79101-2346 | 2020-03-09 |
1134782337 | Jason Allen Jackson | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
1346660826 | Jason Ryan Jackson | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2014-04-23 |
1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
1033290226 | Jason Jackson | Physical Therapist | 1468 Madison Avenue, New York, NY 10029-6574 | 2006-10-17 |
1649378464 | Jason Cole Jackson | Chiropractor | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2006-09-20 |
1316907298 | Jason Jackson | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-03-24 |
Street Address |
2470 WRONDEL WAY STE 275 |
City | RENO |
State | NV |
Zip Code | 89502-3701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518203306 | Brandon Steele Mcveigh | Counselor | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2012-12-24 |
1497159388 | Marlene Rojas | Community Health Worker | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-10-21 |
1134522022 | Samara D. Martin | Community Health Worker | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-10-06 |
1790192805 | Hunter Stanley | Behavioral Analyst | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-07-21 |
1134533862 | Kristal Wilson | Community Based Residential Treatment Facility, Mental Illness | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-06-20 |
1215341011 | Mitchell Moore | Community Based Residential Treatment Facility, Mental Illness | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-06-19 |
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 | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286330 | Unity Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 112a, Reno, NV 89502-2273 | 2020-05-15 |
1003370032 | Dehaven Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 218, Reno, NV 89502-2217 | 2019-01-23 |
1952870297 | Inspiring Minds Mental Health LLC | Community Based Residential Treatment Facility, Mental Illness | 548 Vassar St # 2, Reno, NV 89502-3073 | 2018-11-15 |
1184105637 | Crc Ed Treatment LLC | Community Based Residential Treatment Facility, Mental Illness | 10350 Dryden Dr, Reno, NV 89511-9588 | 2018-08-23 |
1780177287 | Vision of Hope Providers LLC | Community Based Residential Treatment Facility, Mental Illness | 710 Broadway Blvd, Reno, NV 89502-3004 | 2018-06-08 |
1740796887 | Chosen Providers | Community Based Residential Treatment Facility, Mental Illness | 1701 Wedekind Rd, Reno, NV 89512-2665 | 2017-12-27 |
1487169579 | Debbies House LLC | Community Based Residential Treatment Facility, Mental Illness | 16 Smithridge Park, Reno, NV 89502-5709 | 2017-12-11 |
1326586215 | Ambiance Provider Home Services | Community Based Residential Treatment Facility, Mental Illness | 4050 Gardella Ave, Apt 522, Reno, NV 89512-1028 | 2017-02-10 |
1669914578 | Golden Standard Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 1001 Harvard Way Apt 114, Reno, NV 89502-2001 | 2016-11-08 |
1215315601 | Jaylaray Caregiving Place | Community Based Residential Treatment Facility, Mental Illness | 331 Andrew Cahill Ln, Reno, NV 89503-1024 | 2015-05-18 |
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.