Pamela S Hill

Organization Active NPI Community/Behavioral Health Agency · Reno, NV

NPI 1023402005 · NPPES record last updated Mar 26, 2015

Key facts

NPI
1023402005
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
00129-L (NV)
Legal business name
PAMELA S HILL
Practice address
260 Wonder St
#203
Reno, NV 89502-2474
Phone
(775) 677-4417
Fax
(775) 677-4417
NPI assigned
Mar 26, 2015
Organization subpart
No

Authorized official

Name
Pamela S Hill, LADC
Title
Owner/.Sole Proprietor
Phone
(775) 677-4417

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00129-L NV Yes

Addresses

Primary practice location

260 Wonder St
#203
Reno, NV 89502-2474

Mailing address

11620 Deodar Way
Reno, NV 89506-9498
Phone (775) 677-4417

Other identifiers

IdentifierTypeStateIssuer
1184854424OtherNVWEST HILLS HOSPITAL PRIMARY EMPLOYER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2015.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1023402005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 DEODAR WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069498",
            "telephone_number": "775-677-4417",
            "fax_number": "775-677-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WONDER ST",
            "address_2": "#203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022474",
            "telephone_number": "775-677-4417",
            "fax_number": "775-677-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/.SOLE PROPRIETOR",
        "authorized_official_telephone_number": "775-677-4417",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "00129-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST HILLS HOSPITAL PRIMARY EMPLOYER",
            "identifier": "1184854424",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

All providers in Reno, NV · Community/Behavioral Health Agency in Nevada

Sources for this page

Verify at the official NPI Registry.