Active NPI
Daniel F. Gunnarson, PHD
- Clinical Psychologist
- Carson City, NV
National Provider Identifier
1164581930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0360
- Practice address
- 1665 Old Hot Springs Rd
Suite 150
Carson City, NV 89706-0646 - Phone
- (775) 687-4195
- Fax
- (775) 687-5103
- NPI assigned
- Dec 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0360 | NV | Primary |
Addresses
Primary practice location
1665 Old Hot Springs Rd
Suite 150
Carson City, NV 89706-0646
Mailing address
4126 Technology Way
Suite102
Carson City, NV 89706-2009
Phone (775) 687-7573
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 |
|---|---|---|---|
| 325 | ND | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Disorder Recovery Services Professional Corporation | Clinical | Past | Accepting new patients |
| Philip a Rich,MD Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Reno, NV
- NPI 1629222013
Clinical
-
- Psychiatry Physician
- Reno, NV
- NPI 1760663702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164581930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 TECHNOLOGY WAY",
"address_2": "SUITE102",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062009",
"telephone_number": "775-687-7573",
"fax_number": "775-687-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 OLD HOT SPRINGS RD",
"address_2": "SUITE 150",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897060646",
"telephone_number": "775-687-4195",
"fax_number": "775-687-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNARSON",
"first_name": "DANIEL",
"middle_name": "F.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.