DR. JEREMY MICHAEL MATUSZAK (NPI# 1891819033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891819033 |
| Entity Type | Individual |
| Full Name | DR. JEREMY MICHAEL MATUSZAK |
| Credential | M.D. |
| Practice Address |
690 Edison Way Reno NV 89502-4100 |
| Practice Telephone | 7758583303 |
| Practice Fax Number | 7752844595 |
| Mailing Telephone | 7758583303 |
| Mailing Fax Number | 7752844595 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12353 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
690 EDISON WAY |
| City | RENO |
| State | NV |
| Zip Code | 89502-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790883205 | Willow Springs LLC | Social Worker | 690 Edison Way, Reno, NV 89502-4100 | 2006-09-20 |
| 1326647868 | Vanessa Cuevas Rojas | Registered Nurse | 690 Edison Way, Reno, NV 89502-4135 | 2020-10-24 |
| 1598214249 | James Leonard Studer | Marriage & Family Therapist | 690 Edison Way, Reno, NV 89502-4100 | 2016-09-22 |
| 1225581713 | Rachel Martinez | Social Worker | 690 Edison Way, Reno, NV 89502-4100 | 2016-08-01 |
| 1992196653 | Nicholas Tieken | Counselor | 690 Edison Way, Reno, NV 89502-4100 | 2015-02-16 |
| 1326457375 | Nicholas Clark | Social Worker | 690 Edison Way, Reno, NV 89502-4100 | 2014-08-04 |
| 1447505383 | Daniel Phillip Crump Jr. | Social Worker | 690 Edison Way, Reno, NV 89502-4100 | 2012-07-17 |
| 1295059046 | Jayleen Chen | Psychiatry & Neurology | 690 Edison Way, Reno, NV 89502-4100 | 2010-03-23 |
| 1407098288 | Matthew Gibbons Parra | Psychiatry & Neurology | 690 Edison Way, Reno, NV 89502-4100 | 2009-03-25 |
| 1740454172 | Kiersten Gladding | Marriage & Family Therapist | 690 Edison Way, Reno, NV 89502-4100 | 2008-04-16 |
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| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783412 | Andrea Destories M.d P.C. | Psychiatry & Neurology | 59 Damonte Ranch Pkwy Ste B577, Reno, NV 89521-1907 | 2020-02-27 |
| 1730359662 | Ekaterina A. Stepanova | Psychiatry & Neurology | 1495 Ridgeview Dr, Reno, NV 89519-6346 | 2008-03-06 |
| 1760663702 | Philip A Rich,md Professional Corporation | Psychiatry & Neurology | 628 Lake Street, Reno, NV 89501-1020 | 2007-11-19 |
| 1417175969 | Charles S. Price, M.d., Ltd | Psychiatry & Neurology | 313 Flint St, Reno, NV 89501-2005 | 2007-04-22 |
| 1235254210 | Andrea Elise Sorensen | Psychiatry & Neurology | 15 Mccabe Dr Ste 100, Reno, NV 89511-4815 | 2007-03-20 |
| 1407994288 | Sanjay Sarikonda Rao | Psychiatry & Neurology | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2007-02-02 |
| 1700934825 | Philip David Malinas | Psychiatry & Neurology | 639 Isbell Rd Ste 380, Reno, NV 89509 | 2007-01-08 |
| 1316016587 | Mark Armerding | Psychiatry & Neurology | 80 Continental Dr Ste 200, Reno, NV 89509-3440 | 2006-11-06 |
| 1437236643 | Beth Alison Klein | Psychiatry & Neurology | 835 Maplewood Dr, Reno, NV 89509-3672 | 2006-11-01 |
| 1710097985 | Mark Broadhead | Psychiatry & Neurology | 401 W 2nd Street, #216, Reno, NV 89503-5345 | 2006-08-30 |
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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.