Active NPI
Carlos Alberto Mendoza
- Behavior Analyst
- Reno, NV
National Provider Identifier
1316293574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 13K0000X
- Practice address
- 4045 Laurel Park Way
Reno, NV 89502-7916 - Phone
- (775) 772-7465
- NPI assigned
- Jul 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 13K0000X | NV | Primary |
| Rehabilitation Psychologist | 103TR0400X | 103TRX040X | NV |
Addresses
Primary practice location
4045 Laurel Park Way
Reno, NV 89502-7916
Mailing address
4045 Laurel Park Way
Reno, NV 89502-7916
Phone (775) 772-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13K0000X | NV | MD | Behavioral Analyst |
| 103TRX040X | NV | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1316293574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 LAUREL PARK WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895027916",
"telephone_number": "775-772-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 LAUREL PARK WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895027916",
"telephone_number": "775-772-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "13K0000X",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NV",
"license": "103TRX040X",
"primary": false
}
],
"identifiers": [],
"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 Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.