STATE OF NEVADA (NPI# 1720346109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720346109 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | NORTHERN NEVADA ADULT MENTAL HEATH SERVICES |
| Practice Address |
480 Galletti Way Sparks NV 89431-5564 |
| Practice Telephone | 7756882001 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | ELIZABETH O'BRIEN (ASO3) |
| Authorized Official Telephone | 7756882001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 652HOS-21 | NV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002816864 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Nevada Adult Mental Heath Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1114309432 | State of Nevada | Case Management | 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 | 2015-06-23 |
| 1699914887 | State of Nevada | Case Management | 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 | 2009-02-11 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1558549972 | State of Nevada | Case Management | 100 Depot, #5, Caliente, NV 89008-0000 | 2008-02-07 |
| 1578741179 | State of Nevada | Case Management | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 | 2008-02-06 |
| 1336203892 | State of Nevada | Public Health or Welfare | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2006-12-20 |
| 1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF NEVADA RURAL CLINICS | 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027 |
| Street Address |
480 GALLETTI WAY |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501021 | State of Nevada | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2005-07-12 |
| 1760022214 | Dr. William Jackson | Clinic/Center | 480 Galletti Way, Sparks, NV 89431-5564 | 2020-01-13 |
| 1124676614 | Bryon Jason Gallant | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-08-28 |
| 1063076578 | David R Ball | Day Training/Habilitation Specialist | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-04-30 |
| 1154893980 | Juan Manuel Juarez Jr. | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-18 |
| 1861962805 | Ange Kay Zimmerman | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-03 |
| 1053887588 | Richard Alexander Noack | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-23 |
| 1053886739 | Jessica Kate Ketz | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-09 |
| 1720563497 | Colleen Patricia Haesche | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-09-28 |
| 1457839797 | Mitchell Stuart Lasco | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501021 | State of Nevada | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2005-07-12 |
| 1568701233 | Lakes Crossing Center | Psychiatric Hospital | 500 Galletti Way, Sparks, NV 89431-5526 | 2013-01-31 |
| 1811260094 | Northern Nevada Adult Mental Health Services | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-02-17 |
| 1518145267 | State of Nevada | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891332169 | Talas Harbor At Lake Mead LLC | Psychiatric Hospital | 5357 E Lake Mead Blvd, Las Vegas, NV 89156-6709 | 2019-12-05 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| 1457899825 | Erh Red Rock Opco | Psychiatric Hospital | 5975 W Twain Ave Ste B, Las Vegas, NV 89103-1237 | 2017-02-06 |
| 1275801532 | Sbh-red Rock LLC | Psychiatric Hospital | 5975 W Twain Ave, Suite A, Las Vegas, NV 89103-1237 | 2011-12-01 |
| 1851537195 | Southern Nevada Adult Mental Health | Psychiatric Hospital | 720 S. 7th Street, Las Vegas, NV 89101 | 2008-12-16 |
| 1225273790 | Southern Nevada Adult Mental Health | Psychiatric Hospital | 1785 E. Sahara, Ste. 145, Las Vegas, NV 89104-0000 | 2008-12-11 |
| 1144498643 | Seven Hills Hospital, LLC | Psychiatric Hospital | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2008-02-19 |
| 1427064013 | Sbh - Red Rock LLC | Psychiatric Hospital | 5975 W Twain Ave Ste A, Las Vegas, NV 89103-1237 | 2006-08-01 |
| 1669408928 | Uhs Sahara, Inc | Psychiatric Hospital | 5460 W Sahara Ave, Las Vegas, NV 89146-3307 | 2006-06-25 |
| 1891756920 | State of Nevada | Psychiatric Hospital | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2006-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF NEVADA.
| 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.