DR. JORDAN THOMAS BONOW (NPI# 1467850982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467850982 |
| Entity Type | Individual |
| Full Name | DR. JORDAN THOMAS BONOW |
| Credential | PH.D. |
| Practice Address |
975 Kirman Avenue (116) Reno NV 89502 |
| Practice Telephone | 7753262920 |
| Mailing Telephone | 7753262920 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0740 | NV | Behavioral Health & Social Service Providers |
| Street Address |
975 KIRMAN AVENUE (116) |
| City | RENO |
| State | NV |
| Zip Code | 89502 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739646 | Leah M. Leonard-steckline | Psychologist | 1423 S Arlington Ave, Reno, NV 89509-2649 | 2020-01-22 |
| 1376192872 | Cheryl L Garn | Psychologist | 1875 Plumas St Ste 6, Reno, NV 89509-3387 | 2019-09-06 |
| 1801365861 | Richard M Baldo Phd Incorporated | Psychologist | 5421 Kietzke Ln Ste 202, Reno, NV 89511-1025 | 2018-11-20 |
| 1598234924 | John Paul Crum | Psychologist | 645 Plumas St, Reno, NV 89509-1730 | 2018-11-14 |
| 1760950638 | A Wiser Mind Nevada LLC | Psychologist | 401 Ryland St Ste 200a, Reno, NV 89502-1643 | 2018-11-08 |
| 1538404165 | Sophia Alexandra Johnson | Psychologist | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2012-12-07 |
| 1407122724 | Ruth Gentry | Psychologist | 10631 Professional Cir Ste A, Reno, NV 89521-5835 | 2012-03-30 |
| 1275847709 | Lynda J Ross | Psychologist | 2450 Vassar St, 3a, Reno, NV 89502 | 2010-07-26 |
| 1861655938 | Agape Psychological Services | Psychologist | 210 Marsh Ave, Suite 100, Reno, NV 89509-1647 | 2008-07-08 |
| 1982873071 | Mountain Employee Assistance Program | Psychologist | 1091 Haskell Street, Reno, NV 89509 | 2008-02-22 |
| 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.