Individual provider Active NPI

David L. Carlson, MD

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1073538468
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15350 Issued in NV
Practice address
5190 Neil Rd Ste 215
Reno, NV 89502-6509
Phone
(775) 982-7800
Fax
(775) 982-8043
NPI assigned
Jul 13, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 41276 MN
Psychiatry Physician 2084P0800X 6446 ND
Psychiatry Physician 2084P0800X 15350 NV Primary

Addresses

Primary practice location

5190 Neil Rd Ste 215
Reno, NV 89502-6509

Mailing address

1155 Mill St # M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other identifiers 11

IdentifierTypeStateIssuer
ND200168OtherNDLHS #
355326400MedicaidND
HP21429OtherNDHEALTHPARTNERS #
117309OtherNDUCARE #
1542639OtherNDMEDICA #
18506MedicaidND
64G63CAOtherNDMNBS #
58D31CAOtherNDMNBS #
DA9011026962OtherNDPREFERRED ONE #
16003OtherNDNDBS #
20315OtherNDAMERICA'S PPO #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000123 NV Practitioner - Psychiatry 0749472645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6446NDMDPsychiatry Physician
15350NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Oct 15, 2014 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Oct 15, 2014 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Prairie St Johns Past Accepting new patients
Village Family Service Center PastSince Jul 28, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Psychiatry PastSince Oct 15, 2014 Accepting new patients
Community Care Services LLC Psychiatry Past Accepting new patients
Village Family Service Center PastSince Nov 3, 2019 Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

401 W 2nd St
#235D
Reno, NV 89503
Phone (775) 682-8175

401 W 2nd St
Ste 216
Reno, NV 89503
Phone (775) 784-4917

5190 Neil Rd
Ste 215
Reno, NV 89502
Phone (775) 784-4917

85 Kirman Ave
Ste 101
Reno, NV 89502
Phone (775) 329-0222

85 Kirman Ave
Ste 200
Reno, NV 89502
Phone (775) 982-2862

Interoperability endpoints

  • Direct secure messaging: dcarlson98984@direct.renown.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1073538468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD STE 215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026509",
            "telephone_number": "775-982-7800",
            "fax_number": "775-982-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "41276",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "6446",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "15350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHS #",
            "identifier": "ND200168",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355326400",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS #",
            "identifier": "HP21429",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE #",
            "identifier": "117309",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "1542639",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18506",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "64G63CA",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "58D31CA",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE #",
            "identifier": "DA9011026962",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS #",
            "identifier": "16003",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO #",
            "identifier": "20315",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.