Individual provider Active NPI

Ethan Emery Steever, PH.D.

  • Psychologist
  • Reno, NV
National Provider Identifier
1003987181
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0459 Issued in NV
Practice address
5865 Tyrone Rd
Suite 103
Reno, NV 89502-6265
Phone
(775) 786-2828
Fax
(775) 786-3877
NPI assigned
Nov 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0459 NV Primary

Addresses

Primary practice location

5865 Tyrone Rd
Suite 103
Reno, NV 89502-6265

Mailing address

PO Box 18432
Reno, NV 89511-0432
Phone (775) 560-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0459NVMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003987181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18432",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110432",
            "telephone_number": "775-560-7111",
            "fax_number": "775-786-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 TYRONE RD",
            "address_2": "SUITE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026265",
            "telephone_number": "775-786-2828",
            "fax_number": "775-786-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEVER",
        "first_name": "ETHAN",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2007; 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.