Active NPI
Nicole S Pavlatos-Delavoye, M.D.
- Psychiatry Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14856
- Practice address
- 770 Trademark Dr
Reno, NV 89521-5926 - Phone
- (775) 813-4288
- Fax
- (775) 982-4196
- NPI assigned
- Nov 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14856 | NV | Primary |
Addresses
Primary practice location
770 Trademark Dr
Reno, NV 89521-5926
Mailing address
770 Trademark Dr
Reno, NV 89521-5926
Phone (775) 813-4288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194906792 | Medicaid | NV |
Other names 1
- Dr. Nicole S Pavlatos
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://provider.kareo.com/nicole-pavlatos-delavoye |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Damonte Ranch Pkwy
Suite 735
Reno, NV 89521-3964
Phone (775) 453-0765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14856 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| Nugent Family Counseling Center Inc | Psychiatry | Current | Accepting new patients |
| Inspire Sierra, LLC | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
770 Trademark Dr
#100
Reno, NV 89521
Phone (775) 813-4288
500 Damonte Ranch Pkwy
Ste 735
Reno, NV 89521
Phone (408) 341-9222
10789 Double R Blvd
Ste 102
Reno, NV 89521
Phone (775) 453-0765
Organizations & group practices 5
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.
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1679005862
NV, Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Multi-Specialty Clinic/Center
- Reno, NV
- NPI 1982336160
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
-
- Psychiatric Hospital
- Sparks, NV
- NPI 1972501021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1194906792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 TRADEMARK DR",
"city": "RENO",
"state": "NV",
"postal_code": "895215926",
"telephone_number": "775-813-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 TRADEMARK DR",
"city": "RENO",
"state": "NV",
"postal_code": "895215926",
"telephone_number": "775-813-4288",
"fax_number": "775-982-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLATOS-DELAVOYE",
"first_name": "NICOLE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-25",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "14856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194906792",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://provider.kareo.com/nicole-pavlatos-delavoye",
"affiliation": "N",
"address_1": "770 Trademark Dr",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895215926",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PAVLATOS",
"middle_name": "S",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.