Organization Active NPI

Willow Springs LLC

  • Clinical Child & Adolescent Psychologist
  • Reno, NV
National Provider Identifier
1114128477
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
WILLOW SPRINGS LLC
Practice address
650 Edison Way
Reno, NV 89502-4100
Phone
(775) 284-4717
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Ms. Steve Filton
Title
Cfo/Sr VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

650 Edison Way
Reno, NV 89502-4100

Mailing address

650 Edison Way
Reno, NV 89502-4100
Phone (775) 284-4717

Other names 2

  • Briarwood Group Home Doing business as
  • Willow Springs Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willow Springs LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1114128477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-284-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-284-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/SR VP",
        "authorized_official_telephone_number": "610-768-3300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarwood Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Briarwood Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Springs Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 16, 2021; 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.