CHILD AND ADOLESCENT MENTAL HEALTH PSYCHIATRIC SERVICES (NPI# 1437565744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437565744 |
| Entity Type | Organization |
| Organization Name | CHILD AND ADOLESCENT MENTAL HEALTH PSYCHIATRIC SERVICES |
| Practice Address |
1055 Roberta Ln Sparks NV 89431-2809 |
| Practice Telephone | 7753318747 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | MRS. TANJA FORD (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7753318747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | E0133382012-2 | NV | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | E0133382012-2 | NV | Agencies |
| N | 253Z00000X | In Home Supportive Care | E0133382012-2 | NV | Agencies |
| Y | 251S00000X | Community/Behavioral Health | E0133382012-2 | NV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | E0133382012-2 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526023 | Child and Adolescent Mental Health Psychiatric Services | Rehabilitation Counselor | 1055 Roberta Ln, Sparks, NV 89431-2809 | 2012-04-09 |
| Street Address |
1055 ROBERTA LN |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348143 | Silver State Spinecare Forrest Burke Md A Professional Corp | Physical Medicine & Rehabilitation | 1055 Roberta Ln, 103, Sparks, NV 89431-1893 | 2006-12-05 |
| 1548526023 | Child and Adolescent Mental Health Psychiatric Services | Rehabilitation Counselor | 1055 Roberta Ln, Sparks, NV 89431-2809 | 2012-04-09 |
| 1578735999 | Brian Micheal Bantum | Physical Medicine & Rehabilitation | 1055 Roberta Ln, #103, Sparks, NV 89431-2809 | 2008-03-25 |
| 1134319916 | Andrea Malchiodi Tatro | Physical Medicine & Rehabilitation | 1055 Roberta Ln, Suite103, Sparks, NV 89431-1893 | 2007-07-27 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294932 | Jahir Treyvont Anderson | Community/Behavioral Health | 2163 Denevi Dr, Sparks, NV 89434-3457 | 2020-10-28 |
| 1649740754 | Reaching for Independence, LLC | Community/Behavioral Health | 1758 Donegan St, Sparks, NV 89434-8851 | 2018-12-01 |
| 1346717725 | Tomorrow Is Another Day | Community/Behavioral Health | 429 15th St, Sparks, NV 89431-0847 | 2018-10-24 |
| 1306326772 | Mountain Blue Bird Behavioral Health LLC | Community/Behavioral Health | 2640 Anqua Ct, Sparks, NV 89434-2125 | 2018-08-15 |
| 1225409881 | Sierra Counseling Center | Community/Behavioral Health | 1855 Sullivan Ln, Suite 145, Sparks, NV 89431-2825 | 2015-10-08 |
| 1538541537 | Great Basin Therapeutic Services Ltd. | Community/Behavioral Health | 50 Freeport Blvd, Suite 10, Sparks, NV 89431-6274 | 2015-06-25 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1588072235 | Sierra Counseling Center | Community/Behavioral Health | 1855 Sullivan Ln Ste 145, Sparks, NV 89431-2828 | 2014-07-25 |
| 1356686810 | Wiley Care Homes, LLC | Community/Behavioral Health | 6679 N Latour, Sparks, NV 89436-9197 | 2012-12-10 |
| 1700188430 | Etxea Services | Community/Behavioral Health | 741 Rancho Villa Drive, Sparks, NV 89434 | 2010-12-01 |
| Find all providers in SPARKS | ||||
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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.