BRADY JOSEPH CLARK (NPI# 1154851665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154851665 |
| Entity Type | Individual |
| Full Name | BRADY JOSEPH CLARK |
| Practice Address |
4055 Gardella Ave Apt 1413 Reno NV 89512-1056 |
| Practice Telephone | 7752209065 |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2017-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003379769 | Brady Clark | Student in an Organized Health Care Education/Training Program | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-10 |
| Street Address |
4055 GARDELLA AVE APT 1413 |
| City | RENO |
| State | NV |
| Zip Code | 89512-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719622 | Amy Lynn Roukie | Counselor | 850 Mill St Ste 101, Reno, NV 89502-1413 | 2020-08-06 |
| 1346863792 | William John Wynn II | Counselor | 155 Cadillac Pl, Reno, NV 89509-4355 | 2020-05-20 |
| 1013549401 | Ashley Osborne | Counselor | 1201 Terminal Way Ste 100, Reno, NV 89502-3420 | 2020-02-04 |
| 1760950364 | Troy Petersen | Counselor | 1680 Sky Mountain Dr Apt J144, Reno, NV 89523-6127 | 2018-11-13 |
| 1780181248 | Diana Wright, Psy.d., LLC | Counselor | 4600 Kietzke Ln Ste C129, Reno, NV 89502-5037 | 2018-04-11 |
| 1932607470 | Taylor Rae Riker | Counselor | 2300 Dickerson Rd Apt 11, Reno, NV 89503-4909 | 2018-01-30 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1124533245 | Shannon Joy Glasser | Counselor | 722 Gordon Ave, Reno, NV 89509-1405 | 2017-12-12 |
| 1730693482 | Gabrielle Lapira | Counselor | 3030 Leadership Pkwy Unit 13310, Reno, NV 89503-2186 | 2017-11-16 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on BRADY JOSEPH CLARK.
| 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.