| Memor Behavioral Health | |
|
495 Apple St Suite 100 Reno NV 89502-3553 | |
| (775) 827-2400 | |
| Not Available |
| Full Name | Memor Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 495 Apple St, Reno, Nevada |
| Authorized Official Name and Position | Yvette Rene Kaunismaki (PHYCHIARIST) |
| Authorized Official Contact | 7758272400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memor Behavioral Health 495 Apple St Suite 100 Reno NV 89502-3553 Ph: (775) 827-2400 | Memor Behavioral Health 495 Apple St Suite 100 Reno NV 89502-3553 Ph: (775) 827-2400 |
| NPI Number | 1184029464 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 1355627597 |
|---|---|
| Medicare Enrollment ID | O20170424001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184029464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 13378 (Nevada) | Primary |
| Provider Name | James Alton Bertone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699870758 PECOS PAC ID: 8921004417 Enrollment ID: I20061005000399 |
| Provider Name | Shannon L Libler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144272139 PECOS PAC ID: 8527166198 Enrollment ID: I20070605000328 |
| Provider Name | Tifannie J Sahlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568677433 PECOS PAC ID: 1658427000 Enrollment ID: I20090925000524 |
| Provider Name | Yvette R Kaunismaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750595252 PECOS PAC ID: 6709060734 Enrollment ID: I20110415000031 |
| Provider Name | Jennifer L Pettipiece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659327260 PECOS PAC ID: 9830363969 Enrollment ID: I20111129000465 |
| Provider Name | Emily Louise York |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588068985 PECOS PAC ID: 6002102829 Enrollment ID: I20160902001773 |
| Provider Name | Allison D Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407215809 PECOS PAC ID: 1658612387 Enrollment ID: I20190408000693 |
| Provider Name | Lauren M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467795484 PECOS PAC ID: 9335570803 Enrollment ID: I20230117000853 |
| Provider Name | Tiffany L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821398637 PECOS PAC ID: 7810368545 Enrollment ID: I20230117001904 |
| Provider Name | Mary E Ossler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407137318 PECOS PAC ID: 7214298686 Enrollment ID: I20230117002030 |
| Provider Name | Cody Hart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093010787 PECOS PAC ID: 8527439157 Enrollment ID: I20240307003763 |
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