Rudolph Von Ravensberg

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1098 Issued in NV

Legal business name

RUDOLPH VON RAVENSBERG

Doing business as

Great Basin Behavioral Health and Wellness

Practice address

1325 Airmotive Way
Ste 175R
Reno, NV 89502-3275

Phone

(775) 453-4143

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Rudolph Von Ravensberg, LMFT

Title

Psychotherapist/Owner

Phone

(775) 232-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Basin Behavioral Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1093131948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "address_2": "STE 175R",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "address_2": "STE 175R",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023275",
            "telephone_number": "775-453-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH VON RAVENSBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "VON RAVENSBERG",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "775-232-0399",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184822520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Basin Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Ruby, CSW-I
• Allison Ruck
• Theresa Rucker
• Alethea Sanford Rudd, RN
• Austin M Rudd
• Bonnie Jean Rudolph, RN, MSN
• Belen Ruelas
• Emily Ruff, RBT
• Mary Ellen Ruffing, LPCC
• Julia Breyer Ruffolo

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.