ALTA VISTA MENTAL HEALTH LLC (NPI# 1992134472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992134472 |
| Entity Type | Organization |
| Organization Name | ALTA VISTA MENTAL HEALTH LLC |
| Practice Address |
1201 Terminal Way Ste 217 Reno NV 89502-3258 |
| Practice Telephone | 7756248200 |
| Practice Fax Number | 7756248222 |
| Mailing Telephone | 7756248200 |
| Mailing Fax Number | 7756248222 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | CHRISTIE WHITE (CEO) |
| Authorized Official Telephone | 7756248200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALTA VISTA MENTAL HEALTH LLC | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 |
| Street Address |
1201 TERMINAL WAY STE 217 |
| City | RENO |
| State | NV |
| Zip Code | 89502-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163095 | Natalie Gautereaux | Social Worker | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-08-07 |
| 1932719556 | Jennifer Gilmore | Social Worker | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-08-07 |
| 1427683291 | Stephanie Funderburk | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-03-11 |
| 1083249858 | Michelle Johnson | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-03-11 |
| 1437784204 | Lorena Guillen | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-03-11 |
| 1629603493 | Norma Chappel | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2020-03-11 |
| 1134764715 | Catherine Wade | Nurse Practitioner | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2019-11-07 |
| 1285283978 | Regina Morgan | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2019-09-05 |
| 1336798024 | Roberta Rogness | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2019-09-05 |
| 1083263776 | Amanda Wiese | Case Manager/Care Coordinator | 1201 Terminal Way Ste 217, Reno, NV 89502-3258 | 2019-09-05 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1043819006 | Battle Born Wellness, LLC | Community/Behavioral Health | 3732 Lakeside Dr Ste 202, Reno, NV 89509-5278 | 2020-10-21 |
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1851916647 | Juseth Giron Lcsw Psychotherapy LLC | Community/Behavioral Health | 255 N Sierra St Unit 913, Reno, NV 89501-1371 | 2020-06-08 |
| 1497399349 | Friend Psychiatric Services | Community/Behavioral Health | 505 S Arlington Ave Ste B5, Reno, NV 89509-1540 | 2019-11-04 |
| 1902450166 | Aspire Counseling Services | Community/Behavioral Health | 505 S Arlington Ave Ste 211, Reno, NV 89509-1525 | 2019-07-26 |
| 1609434141 | Neubauer Mental Health Services, Apc | Community/Behavioral Health | 4600 Kietzke Ln Ste 0-26, Reno, NV 89502-5033 | 2019-05-30 |
| 1598240087 | Scott Healthcare LLC | Community/Behavioral Health | 590 Denslowe Dr Apt A, Reno, NV 89512-2313 | 2018-10-01 |
| 1831688589 | Resources Mental Health | Community/Behavioral Health | 1273 Marne Dr, Reno, NV 89503-3228 | 2018-05-08 |
| 1386146132 | Choices Group LLC | Community/Behavioral Health | 855 W 7th St Ste 106, Reno, NV 89503-2706 | 2018-03-07 |
| 1508373044 | Warm Hearts Behavioral Health LLC | Community/Behavioral Health | 705 S Wells Ave Ste 175, Reno, NV 89502-0998 | 2018-01-05 |
| 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.