| Ideal Mental Health Llc | |
|
5335 Reno Corporate Dr Reno NV 89511-2618 | |
| (775) 622-7272 | |
| Not Available |
| Full Name | Ideal Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5335 Reno Corporate Dr, Reno, Nevada |
| Authorized Official Name and Position | Daniel Mascret (OWNER/PROVIDER) |
| Authorized Official Contact | 7752328531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Mental Health Llc 5335 Reno Corporate Dr Reno NV 89511-2618 Ph: (775) 622-7272 | Ideal Mental Health Llc 5335 Reno Corporate Dr Reno NV 89511-2618 Ph: (775) 622-7272 |
| NPI Number | 1902660277 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 9931545845 |
|---|---|
| Medicare Enrollment ID | O20240314001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902660277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary M Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306399167 PECOS PAC ID: 8729498647 Enrollment ID: I20201104002747 |
| Provider Name | Daniel I Mascret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104330976 PECOS PAC ID: 1557719846 Enrollment ID: I20231127003286 |
| Provider Name | Laura Joanne Blauenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467826719 PECOS PAC ID: 5698123800 Enrollment ID: I20231129000889 |
| Provider Name | Michelle Varady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568848232 PECOS PAC ID: 1658711403 Enrollment ID: I20240426003531 |
| Provider Name | Racheal A Adelekan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184277584 PECOS PAC ID: 3678914405 Enrollment ID: I20240510002625 |
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