Active NPI
Pride House
- Mental Illness Community Based Residential Treatment Facility
- Reno, NV
National Provider Identifier
1265747695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PRIDE HOUSE
- Practice address
- 2470 Wrondel Way
Reno, NV 89502-3701 - Phone
- (775) 762-6048
- NPI assigned
- Aug 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki McVeigh, MBA
- Title
- Chief Executive Officer
- Phone
- (775) 762-6048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
2470 Wrondel Way
Reno, NV 89502-3701
Mailing address
2470 Wrondel Way
Reno, NV 89502-3701
Phone (775) 762-6048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505100 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
2470 Wrondel Way
Reno, NV 89502
Phone (775) 351-2211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1265747695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 WRONDEL WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895023701",
"telephone_number": "775-762-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 WRONDEL WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895023701",
"telephone_number": "775-762-6048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIDE HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "MCVEIGH",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "775-762-6048",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100505100",
"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 Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.