Active NPI
John G Wyma, PH.D.
- Clinical Psychologist
- Reno, NV
National Provider Identifier
1144285198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14-11P
- Practice address
- 975 Kirman Ave
VA Sierra Nevada Health Care System
Reno, NV 89502 - Phone
- (775) 326-2920
- Fax
- (775) 337-2223
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1452 | AZ | |
| Clinical Psychologist | 103TC0700X | 14-11P | AR | Primary |
Addresses
Primary practice location
975 Kirman Ave
VA Sierra Nevada Health Care System
Reno, NV 89502
Mailing address
8531 Silver Shores Dr
Reno, NV 89506-2151
Phone (928) 308-2372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-11P | AR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1144285198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8531 SILVER SHORES DR",
"city": "RENO",
"state": "NV",
"postal_code": "895062151",
"telephone_number": "928-308-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"address_2": "VA SIERRA NEVADA HEALTH CARE SYSTEM",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-326-2920",
"fax_number": "775-337-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMA",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "1452",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "14-11P",
"primary": true
}
],
"identifiers": [],
"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 Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.