State of Nevada

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STATE OF NEVADA

Doing business as

Dayton Mental Health Center

Practice address

120 Pike St
Dayton, NV 89403-6758

Phone

(775) 246-5240

Fax

(775) 246-5364

NPI assigned

Oct 14, 2006

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ray C Kendall, LCSW

Title

Agency Director

Phone

(775) 687-7500

Specialties & licenses 1

Addresses

Other names 1

• DAYTON MENTAL HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Nevada Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1891756920

  O20040212000160

  Same enrollment
• State of Nevada

  dba Fernley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernley, NV
  • NPI 1013099944

  O20040212000160

  Same enrollment
• State of Nevada

  dba Winnemucca Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnemucca, NV
  • NPI 1275623530

  O20040212000160

  Same enrollment
• State of Nevada

  dba Pahrump Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pahrump, NV
  • NPI 1285724542

  O20040212000160

  Same enrollment
• State of Nevada

  dba Elko Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elko, NV
  • NPI 1306936653

  O20040212000160

  Same enrollment
• State of Nevada

  dba Yerington Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yerington, NV
  • NPI 1629168984

  O20040212000160

  Same enrollment
• State of Nevada

  dba Carson Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carson City, NV
  • NPI 1699865949

  O20040212000160

  Same enrollment
• State of Nevada

  dba Mesquite Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesquite, NV
  • NPI 1730279092

  O20040212000160

  Same enrollment
• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010

  O20040212000160

  Same enrollment
• State of Nevada

  dba Silver Springs Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Springs, NV
  • NPI 1811079742

  O20040212000160

  Same enrollment
• State of Nevada

  dba Lovelock Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lovelock, NV
  • NPI 1831271766

  O20040212000160

  Same enrollment
• State of Nevada

  dba Fallon Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fallon, NV
  • NPI 1851481113

  O20040212000160

  Same enrollment

Locations

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1043300395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062013",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PIKE ST",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036758",
            "telephone_number": "775-246-5240",
            "fax_number": "775-246-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "775-687-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAYTON MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silver State Physical Therapy and Wellness LLC
• Paula Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #392)
• Kelly Solorzano
• Michael Lee Soukup, DPT
• State of Nevada (Dayton Mental Health)
• Tanya Marie Steele, RDHAP
• Emily Tiehm
• Kimberly Vidoni, MFT
• Vitality Unlimited (Vitality Integrated Services Dayton (Community Behavioral Health))

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dayton, NV
• Providers in Dayton, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.