NPIMap

Organization Active NPI

Willow Springs LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reno, NV
National Provider Identifier
1003069485
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLOW SPRINGS LLC
Practice address
650 Edison Way
Reno, NV 89502-4100
Phone
(775) 284-4717
Fax
(775) 284-4595
NPI assigned
Oct 29, 2008
Organization subpart
Yes
Parent organization
WILLOW SPRINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Sabrina D Patton
Title
Cfo
Phone
(775) 858-4536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

650 Edison Way
Reno, NV 89502-4100

Mailing address

PO Box 30012
Reno, NV 89520-3012
Phone (775) 789-4274

Other identifiers 1

IdentifierTypeStateIssuer
100510853MedicaidNV

Other names 1

  • willow Springs Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willow Springs LLC5 organizations share this tax ID, including this one
Part of
Willow Springs LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1003069485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30012",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895203012",
            "telephone_number": "775-789-4274",
            "fax_number": "775-789-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-284-4717",
            "fax_number": "775-284-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW SPRINGS LLC",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-858-4536",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510853",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "willow Springs Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.