| Behavioral Medicine Associates Inc | |
|
5470 Kietzke Ln Ste 300 Reno NV 89511-2099 | |
| (775) 827-8883 | |
| (866) 476-4317 |
| Full Name | Behavioral Medicine Associates Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5470 Kietzke Ln Ste 300, Reno, Nevada |
| Authorized Official Name and Position | Blake H Tearnan (PSYCHOLOGIST) |
| Authorized Official Contact | 7758278883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Associates Inc 5470 Kietzke Ln Ste 300 Reno NV 89511-2099 Ph: (775) 827-8883 | Behavioral Medicine Associates Inc 5470 Kietzke Ln Ste 300 Reno NV 89511-2099 Ph: (775) 827-8883 |
| NPI Number | 1689843179 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 08/02/2019 |
| Medicare PECOS PAC ID | 2163500125 |
|---|---|
| Medicare Enrollment ID | O20080416000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689843179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY142 (Nevada) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Blake H Tearnan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215055975 PECOS PAC ID: 7719912872 Enrollment ID: I20050928000578 |
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