Individual provider Active NPI

Daniel F. Gunnarson, PHD

  • Clinical Psychologist
  • Carson City, NV
National Provider Identifier
1164581930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0360 Issued in NV
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
325NDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eating Disorder Recovery Services Professional Corporation Clinical PastSince Jun 1, 2011 Accepting new patients
Philip a Rich,MD Professional Corporation PastSince Feb 13, 1998 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.

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.

Verify at the official NPI Registry.