DR. DARRYL WILLIAM DEAN MCCLINTOCK (NPI# 1700095338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700095338 |
Entity Type | Individual |
Full Name | DR. DARRYL WILLIAM DEAN MCCLINTOCK |
Credential | M.D. |
Practice Address |
2655 Enterprise Rd Reno NV 89512-1666 |
Practice Telephone | 2672583857 |
Mailing Telephone | 2672583857 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2010-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MDR- 4823 | HI | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
12755 | NV | Allopathic & Osteopathic Physicians |
Street Address |
2655 ENTERPRISE RD |
City | RENO |
State | NV |
Zip Code | 89512-1666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033289392 | William Frederick Harvey | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2006-11-08 |
1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
1952902926 | Emily Morgan | Case Manager/Care Coordinator | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
1104432558 | Kellee Fitzgerald | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-21 |
1255945150 | Brandon Gaeta | Rehabilitation Practitioner | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-08 |
1154934206 | Peter Thacher Arnold | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-08-28 |
1689200354 | Rachel Alia Bronk | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-03-13 |
1558993832 | Emmanuel Armas | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-02-05 |
1730739582 | Mary Katherine Short | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-09-13 |
1376016352 | Maria-veronica D Ong | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-01-02 |
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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 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265774921 | Amanda Lauren Melone | Psychiatry & Neurology | 2900 Sandestin Dr, Reno, NV 89523-2137 | 2013-03-20 |
1598860306 | Arden D Dingle | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2006-09-14 |
1902369093 | Goyal Psychiatry LLC | Psychiatry & Neurology | 1240 E 9th St, Reno, NV 89512-2964 | 2019-04-08 |
1497226823 | Community Care Services LLC | Psychiatry & Neurology | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2018-12-11 |
1134590375 | University of Nevada School of Medicine Multi-specialty Group Practice | Psychiatry & Neurology | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2015-10-14 |
1831458173 | Joshua B Fitzgerald | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2012-05-07 |
1629368279 | Katherine Suzanne Thomas | Psychiatry & Neurology | 401 W 2nd St, Reno, NV 89503-5345 | 2011-04-17 |
1851442263 | Henry K. Watanabe | Psychiatry & Neurology | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2007-01-13 |
1649340985 | Larry Jay Nussbaum | Psychiatry & Neurology | 5190 Neil Rd, 215, Reno, NV 89502-6599 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
1063760411 | Uzoma C Osuchukwu | Psychiatry & Neurology | 4310 W Cheyenne Ave Ste 100, N Las Vegas, NV 89032-2484 | 2012-08-16 |
1043424443 | Rico Fontillas Inc | Psychiatry & Neurology | 1090 Wigwam Parkway, #100, Henderson, NV 89074 | 2007-05-09 |
1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
1134759988 | Emmanuel Nwapa Md Pllc | Psychiatry & Neurology | 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146-0361 | 2020-01-21 |
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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.