Forevermore Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FOREVERMORE BEHAVIORAL HEALTH LLC

Practice address

2470 Wrondel Way
Reno, NV 89502-3701

Phone

(775) 291-9514

NPI assigned

Apr 12, 2018

Organization subpart

No

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

Authorized official

Name

Shanna Marie Mayer

Title

Owner

Phone

(775) 291-9514

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1023515210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-291-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-291-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVERMORE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-291-9514"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Fordham
• Eric Foreman
• Monique Foreman, LCSW
• Stephanie Foreman
• Forest View Medical Clinic LLC
• Paula Jean Forgy, P.T.
• Jordan Diane Forman, APRN
• Michelle Mette Forman, PT, DPT
• Nakeyia Forney
• Sahar Forootan Sedigh, MD

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.