NPIMap

Organization Active NPI

Restart, Inc

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1184711392
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4954-C Issued in NV
Legal business name
RESTART, INC
Practice address
335 Record St
#155
Reno, NV 89512-3327
Phone
(775) 324-2622
Fax
(775) 324-0446
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Rachelle Pellissier
Title
Director
Phone
(775) 324-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4954-C NV Primary

Addresses

Primary practice location

335 Record St
#155
Reno, NV 89512-3327

Mailing address

PO Box 21530
Carson City, NV 89721-1530
Phone (775) 884-2455

Other identifiers 1

IdentifierTypeStateIssuer
1184711392MedicaidNV

National Provider Directory

National Provider Directory

Locations

335 Record St
#155
Reno, NV 89512
Phone (775) 324-2622

355 Record St
#155
Reno, NV 89512
Phone (775) 324-2622

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1184711392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21530",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211530",
            "telephone_number": "775-884-2455",
            "fax_number": "775-884-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 RECORD ST",
            "address_2": "#155",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123327",
            "telephone_number": "775-324-2622",
            "fax_number": "775-324-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "PELLISSIER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-324-2622"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4954-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184711392",
            "state": "NV"
        }
    ],
    "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 Dec 29, 2009; 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.