| Northern Nevada Adult Mental Health Services | |
|
480 Galletti Way Sparks NV 89431-5564 | |
| (775) 688-0400 | |
| (775) 688-0434 |
| Full Name | Northern Nevada Adult Mental Health Services |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 480 Galletti Way, Sparks, Nevada |
| Authorized Official Name and Position | Helen Byrd (INTERIM AGENCY MANAGER) |
| Authorized Official Contact | 7756883321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Adult Mental Health Services 4150 Technology Way Ste:300 Carson City NV 89706-2026 Ph: (775) 684-4051 | Northern Nevada Adult Mental Health Services 480 Galletti Way Sparks NV 89431-5564 Ph: (775) 688-0400 |
| NPI Number | 1972501021 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 9234022153 |
|---|---|
| Medicare Enrollment ID | O20080715000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972501021 | NPI | - | NPPES |
| 005416864 | Medicaid | NV | |
| 001416864 | Medicaid | NV | |
| 100501303 | Medicaid | NV | |
| 100503395 | Medicaid | NV | |
| VN29400029400 | Other | NV | MEDICARE/MEDICARE PIN |
| 002016864 | Medicaid | NV | |
| 001316864 | Medicaid | NV | |
| 002816864 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 652HOS-14 (Nevada) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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