| Northern Nevada Behavioral Health Systems Llc | |
|
850 Mill St Ste 200 Reno NV 89502-1435 | |
| (775) 501-8655 | |
| (775) 499-5206 |
| Full Name | Northern Nevada Behavioral Health Systems Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 850 Mill St Ste 200, Reno, Nevada |
| Authorized Official Name and Position | Abby Grossa (CFO) |
| Authorized Official Contact | 7029788000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Behavioral Health Systems Llc 2921 N Tenaya Way Las Vegas NV 89128-1409 Ph: (702) 978-8000 | Northern Nevada Behavioral Health Systems Llc 850 Mill St Ste 200 Reno NV 89502-1435 Ph: (775) 501-8655 |
| NPI Number | 1609337633 |
|---|---|
| Provider Enumeration Date | 03/31/2019 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Medicare PECOS PAC ID | 5092170761 |
|---|---|
| Medicare Enrollment ID | O20230502001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609337633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144250002 PECOS PAC ID: 4486727443 Enrollment ID: I20180207002466 |
| Provider Name | David J Ventrelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639342140 PECOS PAC ID: 1850437369 Enrollment ID: I20220815000650 |
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