Individual provider Active NPI

Faraaz Merchant, D.O.

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1174941041
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO2141 Issued in NV
Practice address
1664 N Virginia St
Mailstop 0196
Reno, NV 89557-0196
Phone
(775) 784-6598
Fax
(775) 784-1298
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 007294 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X DO2141 NV Primary

Addresses

Primary practice location

1664 N Virginia St
Mailstop 0196
Reno, NV 89557-0196

Mailing address

1664 N Virginia St
Mailstop 0196
Reno, NV 89557-0196
Phone (775) 784-6598

Other practice location 1

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181002001036 AZ Practitioner - Psychiatry 6103177183 Reassigns benefits to 1 organization
I20200619001525 NV Practitioner - Psychiatry 6103177183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2141NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Jun 29, 2020 Accepting new patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry CurrentSince Jun 30, 2018 Accepting new patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Jun 29, 2020 Accepting new patients

Locations

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

580 W 5th St
Reno, NV 89503
Phone (775) 786-4673

Organizations & group practices 3

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1174941041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAILSTOP 0196",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570196",
            "telephone_number": "775-784-6598",
            "fax_number": "775-784-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAILSTOP 0196",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570196",
            "telephone_number": "775-784-6598",
            "fax_number": "775-784-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 S Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "85283",
            "country_code": "US",
            "telephone_number": "480-345-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "FARAAZ",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "007294",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.