Individual provider Active NPI

Nicole S Pavlatos-Delavoye, M.D.

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1194906792
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14856 Issued in NV
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

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194906792MedicaidNV

Other names 1

  • Dr. Nicole S Pavlatos Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000545 NV Practitioner - Psychiatry 4284873621 Reassigns benefits to 2 organizations

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
Nugent Family Counseling Center Inc.Group PAC ID 2668816745, 6 clinicians

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

LicenseStateTypeSpecialty
14856NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Jul 8, 2013 Accepting new patients
State of Nevada Current Accepting new patients
Nugent Family Counseling Center Inc Psychiatry CurrentSince Jun 19, 2024 Accepting new patients
Inspire Sierra, LLC CurrentSince Jul 27, 2020 Accepting new patients
State of Nevada CurrentSince Jul 8, 2013 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.

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

Verify at the official NPI Registry.