Family Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20141195652 Issued in NV

Legal business name

FAMILY WELLNESS CENTER

Practice address

751 Basque Way
Suite D
Carson City, NV 89706-7934

Phone

(775) 400-2996

NPI assigned

Mar 22, 2014

Organization subpart

No

Name

Mr. Kristopher L Komarek, LSW

Title

Owner

Phone

(775) 400-2996

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn N Riggs, PH.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1922100692

  NV

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2014.

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1003233545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GOLDEN PICK DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037412",
            "telephone_number": "775-400-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BASQUE WAY",
            "address_2": "SUITE D",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067934",
            "telephone_number": "775-400-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "KOMAREK",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-400-2996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20141195652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyezone, Inc.
• Rachelle Faedi
• Stephanie Fagliano, LCSW
• Falcon Subsidaries LLC
• Kara Fallini
• Christina Farmer
• Tasha Farnaam, PHARMD
• Farnaz Khankhanian O D Professional Corporation
• Matthew Farnsworth, OD
• Carla Rae Farnworth, NP

• All providers in Carson City, NV
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.