Active NPI
David L. Carlson, MD
- Psychiatry Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15350
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND200168 | Other | ND | LHS # |
| 355326400 | Medicaid | ND | |
| HP21429 | Other | ND | HEALTHPARTNERS # |
| 117309 | Other | ND | UCARE # |
| 1542639 | Other | ND | MEDICA # |
| 18506 | Medicaid | ND | |
| 64G63CA | Other | ND | MNBS # |
| 58D31CA | Other | ND | MNBS # |
| DA9011026962 | Other | ND | PREFERRED ONE # |
| 16003 | Other | ND | NDBS # |
| 20315 | Other | ND | AMERICA'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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6446 | ND | MD | Psychiatry Physician |
| 15350 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Prairie St Johns | Past | Accepting new patients | |
| Village Family Service Center | Past | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Psychiatry | Past | Accepting new patients |
| Community Care Services LLC | Psychiatry | Past | Accepting new patients |
| Village Family Service Center | Past | 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
- 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.
-
dba Community Care Services
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
dba Renown Radiology
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Family Medicine Physician
- Reno, NV
- NPI 1780155309
-
dba Medschool Associaes North
- Pediatrics Physician
- Reno, NV
- NPI 1134542681
-
dba University Health Speech Pathology and Audiology
- Speech-Language Pathologist
- Reno, NV
- NPI 1285129056
-
- Family Medicine Physician
- Reno, NV
- NPI 1992842660
-
dba Renown Medical Group - Behavioral Health
- Psychiatry Physician
- Reno, NV
- NPI 1932670478
-
dba MEDSchool Associates, North
- Psychiatry Physician
- Reno, NV
- NPI 1801933239
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
-
dba The Village Family Service Center
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1952679318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.