| Rural Clinics Ely | |
|
1675 Avenue F Ely NV 89301-3500 | |
| (775) 289-1671 | |
| (775) 289-1561 |
| Full Name | Rural Clinics Ely |
|---|---|
| Speciality | Clinic/Center |
| Location | 1675 Avenue F, Ely, Nevada |
| Authorized Official Name and Position | Ellen Richardson-adams (AGENCY MANAGER) |
| Authorized Official Contact | 7024864400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Clinics Ely Attn: Cyndi Smith 240 S. Humahuaca Pahrump NV 89048-2199 Ph: (775) 751-7406 | Rural Clinics Ely 1675 Avenue F Ely NV 89301-3500 Ph: (775) 289-1671 |
| NPI Number | 1760572010 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 9234022153 |
|---|---|
| Medicare Enrollment ID | O20040212000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760572010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Pavan K Janapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467535070 PECOS PAC ID: 3678475845 Enrollment ID: I20040129000121 |
| Provider Name | Jennifer D Mckay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225046675 PECOS PAC ID: 6800880469 Enrollment ID: I20040414001357 |
| Provider Name | Thomas M Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851401053 PECOS PAC ID: 9931182458 Enrollment ID: I20040608000059 |
| Provider Name | Dwarakanath Vuppalapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063512804 PECOS PAC ID: 0143204842 Enrollment ID: I20040617001355 |
| Provider Name | Ellen Bowers Mcbride |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790845519 PECOS PAC ID: 2769467869 Enrollment ID: I20040622001580 |
| Provider Name | Daniel Sussman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275575870 PECOS PAC ID: 7214832179 Enrollment ID: I20040625000223 |
| Provider Name | Martin D Fakiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972787000 PECOS PAC ID: 1254319544 Enrollment ID: I20040713000226 |
| Provider Name | John P Valles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972545994 PECOS PAC ID: 8820060163 Enrollment ID: I20040809000354 |
| Provider Name | Thomas Guyden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528070786 PECOS PAC ID: 4486550639 Enrollment ID: I20040901001237 |
| Provider Name | Steven E Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902975923 PECOS PAC ID: 6709846066 Enrollment ID: I20041013000638 |
| Provider Name | Ritu D Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679563241 PECOS PAC ID: 3870554421 Enrollment ID: I20041027000151 |
| Provider Name | Kambiz Alaei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295704773 PECOS PAC ID: 5496708125 Enrollment ID: I20050222001036 |
| Provider Name | Jacqueline A Volkmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023178399 PECOS PAC ID: 3375584212 Enrollment ID: I20050520000205 |
| Provider Name | Sikisam A Magoyag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912995283 PECOS PAC ID: 5597708958 Enrollment ID: I20050607000207 |
| Provider Name | Adelwisa V Lizada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164523296 PECOS PAC ID: 9830132216 Enrollment ID: I20050607000292 |
| Provider Name | Malek M Nazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023389921 PECOS PAC ID: 4385688621 Enrollment ID: I20050616001002 |
| Provider Name | Danette K Raymond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437231917 PECOS PAC ID: 5193754612 Enrollment ID: I20050804001183 |
| Provider Name | Alex Del Rosario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336248145 PECOS PAC ID: 0941235188 Enrollment ID: I20050927000976 |
| Provider Name | Adrian Adrian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174577662 PECOS PAC ID: 8628099660 Enrollment ID: I20051219000069 |
| Provider Name | Erika Ryst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548370778 PECOS PAC ID: 5193739506 Enrollment ID: I20060206000313 |
| Provider Name | Wade Exum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891855615 PECOS PAC ID: 6406862218 Enrollment ID: I20060303000238 |
| Provider Name | Darren M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760542021 PECOS PAC ID: 4486661964 Enrollment ID: I20060308000200 |
| Provider Name | Saide Altinsan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689612079 PECOS PAC ID: 8022026368 Enrollment ID: I20060329000282 |
| Provider Name | Rangal Yorks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336221357 PECOS PAC ID: 1557462116 Enrollment ID: I20070823000268 |
| Provider Name | Henry Osei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235102716 PECOS PAC ID: 2062509813 Enrollment ID: I20071026000267 |
| Provider Name | Rebekah M Bock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053471383 PECOS PAC ID: 6103904834 Enrollment ID: I20080422000437 |
| Provider Name | Kahmien A Larusch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790992311 PECOS PAC ID: 6800956525 Enrollment ID: I20081125000210 |
| Provider Name | Kay D Riehm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548430499 PECOS PAC ID: 8628131174 Enrollment ID: I20090110000096 |
| Provider Name | Ronald Centric |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396845921 PECOS PAC ID: 2264599323 Enrollment ID: I20090318000105 |
| Provider Name | Andrea E Sorensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235254210 PECOS PAC ID: 9133277007 Enrollment ID: I20090502000056 |
| Provider Name | Philip D Malinas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700934825 PECOS PAC ID: 9931258993 Enrollment ID: I20090521000305 |
| Provider Name | Jason Porras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538228309 PECOS PAC ID: 3577616028 Enrollment ID: I20090730000259 |
| Provider Name | Jeremy Matuszak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891819033 PECOS PAC ID: 7618020900 Enrollment ID: I20090804000599 |
| Provider Name | Christy D Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902018518 PECOS PAC ID: 5890840987 Enrollment ID: I20090825000414 |
| Provider Name | Blanche Y Bonnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538200233 PECOS PAC ID: 0244372043 Enrollment ID: I20100115000858 |
| Provider Name | William S Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366585226 PECOS PAC ID: 8921141839 Enrollment ID: I20100201000314 |
| Provider Name | Murphy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770544983 PECOS PAC ID: 4880729599 Enrollment ID: I20100319000726 |
| Provider Name | David G Kale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881755007 PECOS PAC ID: 1456487263 Enrollment ID: I20100331000880 |
| Provider Name | Emma B Cempron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073709192 PECOS PAC ID: 9234322108 Enrollment ID: I20101023000190 |
| Provider Name | Leo Lee Gallofin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770685430 PECOS PAC ID: 8628263845 Enrollment ID: I20101115000128 |
| Provider Name | Dawne Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639251622 PECOS PAC ID: 4981887536 Enrollment ID: I20110321000343 |
| Provider Name | Yvette R Kaunismaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750595252 PECOS PAC ID: 6709060734 Enrollment ID: I20110415000031 |
| Provider Name | Susan C Haut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700917424 PECOS PAC ID: 2567649205 Enrollment ID: I20110607000482 |
| Provider Name | Nader Rouhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407825185 PECOS PAC ID: 5092992396 Enrollment ID: I20110615000082 |
| Provider Name | Reynald Joseph S Ferraz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386824753 PECOS PAC ID: 7315125424 Enrollment ID: I20110620000507 |
| Provider Name | Bradley J Easton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972673176 PECOS PAC ID: 7810165552 Enrollment ID: I20110722000412 |
| Provider Name | Sean Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922256809 PECOS PAC ID: 2668641523 Enrollment ID: I20110810000127 |
| Provider Name | Daniel Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124201801 PECOS PAC ID: 0749451136 Enrollment ID: I20110915000061 |
| Provider Name | Rebecca R Peoples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225265549 PECOS PAC ID: 5991976342 Enrollment ID: I20110915000743 |
| Provider Name | Ralph M Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083775209 PECOS PAC ID: 1052579901 Enrollment ID: I20120222001111 |
| Provider Name | Austin Lyle Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982831202 PECOS PAC ID: 1456511369 Enrollment ID: I20120330000543 |
| Provider Name | Johanna W Dekay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801000393 PECOS PAC ID: 6305009283 Enrollment ID: I20120514000486 |
| Provider Name | Faisal Suba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
| Provider Name | Mark V Suhany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164515417 PECOS PAC ID: 6709040025 Enrollment ID: I20120615000401 |
| Provider Name | Eden S Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023103215 PECOS PAC ID: 4486819166 Enrollment ID: I20120702000333 |
| Provider Name | Rodrigo L Farrales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235379678 PECOS PAC ID: 6305985805 Enrollment ID: I20120918000397 |
| Provider Name | Jonathan Wirjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265694673 PECOS PAC ID: 7416107719 Enrollment ID: I20121023000268 |
| Provider Name | Josef Z Abbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104016872 PECOS PAC ID: 8426209263 Enrollment ID: I20121105000039 |
| Provider Name | Lawrence E Chance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952452492 PECOS PAC ID: 9133138464 Enrollment ID: I20130403000160 |
| Provider Name | Nancy Domiano-sader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679780225 PECOS PAC ID: 8527204353 Enrollment ID: I20130423000103 |
| Provider Name | Suresh G Bhushan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043400195 PECOS PAC ID: 8527223742 Enrollment ID: I20130604000433 |
| Provider Name | Marilou Abellana Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528307659 PECOS PAC ID: 2961644901 Enrollment ID: I20130805000276 |
| Provider Name | Nicole S Pavlatos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194906792 PECOS PAC ID: 4284873621 Enrollment ID: I20130829000545 |
| Provider Name | Susan L Vincent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730200528 PECOS PAC ID: 6901049436 Enrollment ID: I20130830000359 |
| Provider Name | Nathan A Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780977561 PECOS PAC ID: 7113151564 Enrollment ID: I20131017002073 |
| Provider Name | Donald M Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093914806 PECOS PAC ID: 7214162940 Enrollment ID: I20131104001804 |
| Provider Name | Rosanna R Octaviano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760828214 PECOS PAC ID: 2961637566 Enrollment ID: I20131107001231 |
| Provider Name | Sapandeep Khurana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669649778 PECOS PAC ID: 2264669936 Enrollment ID: I20131230001798 |
| Provider Name | Deborah Arnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740537125 PECOS PAC ID: 1658598479 Enrollment ID: I20140818002723 |
| Provider Name | Christopher Fyfe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649684028 PECOS PAC ID: 0941428726 Enrollment ID: I20140820002739 |
| Provider Name | Sean Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997926 PECOS PAC ID: 3678794328 Enrollment ID: I20141021002070 |
| Provider Name | Ekaterina Stepanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730359662 PECOS PAC ID: 9032331319 Enrollment ID: I20141121000943 |
| Provider Name | Mustafa M Rawaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114241973 PECOS PAC ID: 0244553022 Enrollment ID: I20141231001298 |
| Provider Name | Kristen E Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700174802 PECOS PAC ID: 2264755784 Enrollment ID: I20150107002574 |
| Provider Name | Jonathan G Still |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467507178 PECOS PAC ID: 5799000717 Enrollment ID: I20150216001647 |
| Provider Name | Elizabeth C Ricciardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467681692 PECOS PAC ID: 1355666058 Enrollment ID: I20150219002471 |
| Provider Name | Aviv Itzhaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891938593 PECOS PAC ID: 7214253970 Enrollment ID: I20150224001827 |
| Provider Name | Beatriz A Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366640419 PECOS PAC ID: 4880817279 Enrollment ID: I20150323000736 |
| Provider Name | Carl Taswell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679799266 PECOS PAC ID: 5890769509 Enrollment ID: I20150701000929 |
| Provider Name | Ejine Okoroafor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003164377 PECOS PAC ID: 6800113812 Enrollment ID: I20150709001025 |
| Provider Name | Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457624835 PECOS PAC ID: 7113230210 Enrollment ID: I20150717002790 |
| Provider Name | Laura Lynn Neimark-gizara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932359429 PECOS PAC ID: 5496906802 Enrollment ID: I20151012000453 |
| Provider Name | Tarik Khaled Alshaikah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407145428 PECOS PAC ID: 9032338165 Enrollment ID: I20151015001894 |
| Provider Name | Patrick Joseph Bennet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992094155 PECOS PAC ID: 8527287507 Enrollment ID: I20151022000396 |
| Provider Name | Barry Eliot Cole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114073913 PECOS PAC ID: 7214061969 Enrollment ID: I20160107002980 |
| Provider Name | Jenny M Pinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407102056 PECOS PAC ID: 3971598251 Enrollment ID: I20160210001015 |
| Provider Name | Josephine S Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720402373 PECOS PAC ID: 4082918826 Enrollment ID: I20160215001942 |
| Provider Name | Jennifer M Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588901565 PECOS PAC ID: 5496051344 Enrollment ID: I20160302002804 |
| Provider Name | Mohammad A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245492263 PECOS PAC ID: 3870806771 Enrollment ID: I20160323001342 |
| Provider Name | Christine S Moninghoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487058350 PECOS PAC ID: 9335439918 Enrollment ID: I20160610000334 |
| Provider Name | Melissa Gagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144574708 PECOS PAC ID: 3779874011 Enrollment ID: I20160616002293 |
| Provider Name | Brian Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922368596 PECOS PAC ID: 7012138738 Enrollment ID: I20160726003011 |
| Provider Name | Douglas Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336280023 PECOS PAC ID: 7416109012 Enrollment ID: I20161019001381 |
| Provider Name | Priscilla Flores |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427503853 PECOS PAC ID: 6709174048 Enrollment ID: I20161019001513 |
| Provider Name | Melanie Ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023317955 PECOS PAC ID: 0143509364 Enrollment ID: I20161110002386 |
| Provider Name | Jon Failla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326474685 PECOS PAC ID: 1557645546 Enrollment ID: I20170313001471 |
| Provider Name | Todd Parry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912344599 PECOS PAC ID: 7719255645 Enrollment ID: I20170619002257 |
| Provider Name | Krista Linn Pinard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013355445 PECOS PAC ID: 0446489900 Enrollment ID: I20170731003610 |
| Provider Name | Timothy Jeider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902149248 PECOS PAC ID: 9931329570 Enrollment ID: I20170818001503 |
| Provider Name | Lisa Costa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669727780 PECOS PAC ID: 9931471927 Enrollment ID: I20170825002503 |
| Provider Name | John Liong Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972845790 PECOS PAC ID: 6507080637 Enrollment ID: I20170908001375 |
| Provider Name | Christine M Molina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750721445 PECOS PAC ID: 1153559109 Enrollment ID: I20171103002759 |
| Provider Name | Kathryn Lowery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740540319 PECOS PAC ID: 2567681604 Enrollment ID: I20171129002384 |
| Provider Name | Betty J Lytle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851784441 PECOS PAC ID: 5698034015 Enrollment ID: I20180110002806 |
| Provider Name | Narmeen N Dababneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730416199 PECOS PAC ID: 0244592962 Enrollment ID: I20180316001636 |
| Provider Name | Emily Slife |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760877195 PECOS PAC ID: 5890057038 Enrollment ID: I20180327002798 |
| Provider Name | Steven H Berger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376504589 PECOS PAC ID: 2163428558 Enrollment ID: I20180427000900 |
| Provider Name | Dawn J Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558720821 PECOS PAC ID: 9234494923 Enrollment ID: I20180530001628 |
| Provider Name | Geoffrey Shih |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003247081 PECOS PAC ID: 6709141211 Enrollment ID: I20180605000798 |
| Provider Name | Andrew V Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154793438 PECOS PAC ID: 2466707468 Enrollment ID: I20180614002884 |
| Provider Name | Dennis Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952545915 PECOS PAC ID: 8123376894 Enrollment ID: I20180813002052 |
| Provider Name | Jessica M Arabski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194067926 PECOS PAC ID: 7012136179 Enrollment ID: I20180924003323 |
| Provider Name | Daniel Jardine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336472679 PECOS PAC ID: 6901157072 Enrollment ID: I20180928002114 |
| Provider Name | Brenda J Hulphers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508112145 PECOS PAC ID: 1759625916 Enrollment ID: I20181129001635 |
| Provider Name | Noah David Yaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740764653 PECOS PAC ID: 0345586871 Enrollment ID: I20190104000024 |
| Provider Name | Julia Elaine O'leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201365 PECOS PAC ID: 7113265257 Enrollment ID: I20190214001577 |
| Provider Name | Jenny M Kloepfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285184515 PECOS PAC ID: 7113266818 Enrollment ID: I20190225000781 |
| Provider Name | Verne E Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053317040 PECOS PAC ID: 7810954856 Enrollment ID: I20190318002489 |
| Provider Name | Hae Sook Yuo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184633901 PECOS PAC ID: 9234278698 Enrollment ID: I20190325002283 |
| Provider Name | Shannon M Rebiejo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558723650 PECOS PAC ID: 5597006684 Enrollment ID: I20190418001990 |
| Provider Name | Stacey K Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497716476 PECOS PAC ID: 5193728939 Enrollment ID: I20190514002847 |
| Provider Name | Lauri C Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538398979 PECOS PAC ID: 8527301258 Enrollment ID: I20190521003311 |
| Provider Name | Bonnie M Lemieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073061321 PECOS PAC ID: 8729341300 Enrollment ID: I20190522001884 |
| Provider Name | Amy Marie Kegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831508555 PECOS PAC ID: 2668715558 Enrollment ID: I20190619001309 |
| Provider Name | Erin Carder Mccoy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316458151 PECOS PAC ID: 2567792476 Enrollment ID: I20190919000317 |
| Provider Name | Robert Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386902476 PECOS PAC ID: 0749444008 Enrollment ID: I20191014002034 |
| Provider Name | Mary C Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194738237 PECOS PAC ID: 8820052673 Enrollment ID: I20191105002442 |
| Provider Name | Adam Shafer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427451384 PECOS PAC ID: 6204172984 Enrollment ID: I20191130000101 |
| Provider Name | Sarah C Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366719221 PECOS PAC ID: 3779916846 Enrollment ID: I20191203001827 |
| Provider Name | Suzanne E Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447781331 PECOS PAC ID: 9032488150 Enrollment ID: I20200108002166 |
| Provider Name | Casha Kaufer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801320320 PECOS PAC ID: 8921437849 Enrollment ID: I20200327002717 |
| Provider Name | Elita C Pallasigui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013376136 PECOS PAC ID: 5698068179 Enrollment ID: I20200419000256 |
| Provider Name | Josette Ann Iribarne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326348764 PECOS PAC ID: 0648692046 Enrollment ID: I20200611002432 |
| Provider Name | Brandon Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033757711 PECOS PAC ID: 7810310687 Enrollment ID: I20200720001948 |
| Provider Name | Nikhil Gera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568620722 PECOS PAC ID: 8729121298 Enrollment ID: I20201105001460 |
| Provider Name | Aimee M Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598189193 PECOS PAC ID: 1557778248 Enrollment ID: I20210324002668 |
| Provider Name | Denis G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962093492 PECOS PAC ID: 0941609739 Enrollment ID: I20210527001460 |
| Provider Name | Gaitree Debiparshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093018178 PECOS PAC ID: 5496155616 Enrollment ID: I20210609002967 |
| Provider Name | Sean L Tuggle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154852523 PECOS PAC ID: 0143591339 Enrollment ID: I20210901002452 |
| Provider Name | Jessica A Waller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194333732 PECOS PAC ID: 9931598604 Enrollment ID: I20211118000862 |
| Provider Name | Tavia N Woodcook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043670110 PECOS PAC ID: 1951791391 Enrollment ID: I20211129002293 |
| Provider Name | Timothy J Ebright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669976239 PECOS PAC ID: 6305194515 Enrollment ID: I20220804002452 |
| Provider Name | Peter Bivans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548775257 PECOS PAC ID: 3678831484 Enrollment ID: I20220901002751 |
| Provider Name | Raymond G Larivee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679069454 PECOS PAC ID: 6608252945 Enrollment ID: I20221010002902 |
| Provider Name | Lidia N Timofeenko Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245857952 PECOS PAC ID: 2769895960 Enrollment ID: I20221011002765 |
| Provider Name | Chau Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144751629 PECOS PAC ID: 3173894698 Enrollment ID: I20221208003223 |
| Provider Name | Christine M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033407994 PECOS PAC ID: 2769857028 Enrollment ID: I20230419000586 |
| Provider Name | Casey A Taylor-brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417424722 PECOS PAC ID: 7911364443 Enrollment ID: I20230526002324 |
| Provider Name | Kimbley Lau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629505045 PECOS PAC ID: 5597013797 Enrollment ID: I20230607002400 |
| Provider Name | Jason Crawford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831766153 PECOS PAC ID: 0648638080 Enrollment ID: I20230616002550 |
| Provider Name | Sheyda Seyedan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376002113 PECOS PAC ID: 4587999578 Enrollment ID: I20230712004282 |
| Provider Name | Faris M Tahsin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255836672 PECOS PAC ID: 9133454143 Enrollment ID: I20230721003276 |
| Provider Name | Mark Burger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285167510 PECOS PAC ID: 4587931357 Enrollment ID: I20230911002627 |
| Provider Name | Courtney M Nyland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861813545 PECOS PAC ID: 0840654737 Enrollment ID: I20230911003605 |
| Provider Name | Irma P Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679028583 PECOS PAC ID: 6608229794 Enrollment ID: I20240124004514 |
| Provider Name | Glenda R Dazey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700272390 PECOS PAC ID: 4587017504 Enrollment ID: I20240125004262 |
| Provider Name | Janice L Maddox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083908107 PECOS PAC ID: 0244673887 Enrollment ID: I20240209003448 |
| Provider Name | Suzanne M Olson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952649428 PECOS PAC ID: 2264875814 Enrollment ID: I20240209003819 |
| Provider Name | Rebecca S Craghill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548925514 PECOS PAC ID: 9739524166 Enrollment ID: I20240226001609 |
| Provider Name | Ian H Mikolaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417417015 PECOS PAC ID: 3779902846 Enrollment ID: I20240306001760 |
| Provider Name | Jennifer K Maloney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609483791 PECOS PAC ID: 0244676062 Enrollment ID: I20240314001832 |
| Provider Name | Janie M Rippetoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326340332 PECOS PAC ID: 4082056239 Enrollment ID: I20240520003973 |
Casey Brewer, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Avenue K Ste A, Ely, NV 89301 Phone: 775-293-7428 | |
Atkinson, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2281 Aultman St, Ely, NV 89301 Phone: 775-296-1583 | |
William Bee Ririe Hosp Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Steptoe Circle, Ely, NV 89301 Phone: 775-289-3612 Fax: 775-289-6423 |