Individual provider Active NPI

Barbara Kohlenberg, P.H.D.

  • Psychologist
  • Reno, NV
National Provider Identifier
1124138342
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0326 Issued in NV
Practice address
5190 Neil Rd
215
Reno, NV 89502-6599
Phone
(775) 784-4917
Fax
(775) 784-1428
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0326 NV Primary

Addresses

Primary practice location

5190 Neil Rd
215
Reno, NV 89502-6599

Mailing address

401 W 2ND St
235D
Reno, NV 89503-5345
Phone (775) 682-8175

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001407 NV Practitioner - Clinical Psychologist 8527052091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

5190 Neil Rd
Suite 215
Reno, NV 89502-6509
Phone (775) 982-7800

745 W Moana LN
Reno, NV 89509-4991

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0326NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Aug 25, 2024 Accepting new patients
Community Care Services LLC CurrentSince Aug 25, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Jan 6, 2010 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Jan 6, 2010 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

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

745 W Moana Ln
Reno, NV 89509
Phone (775) 334-3033

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

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

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

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

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

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

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1124138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST",
            "address_2": "235D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035345",
            "telephone_number": "775-682-8175",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD",
            "address_2": "215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026599",
            "telephone_number": "775-784-4917",
            "fax_number": "775-784-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLENBERG",
        "first_name": "BARBARA",
        "name_prefix": "Prof.",
        "credential": "P.H.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.