NPIMap

Organization Active NPI

State of Nevada

  • Psychiatric Residential Treatment Facility
  • Reno, NV
National Provider Identifier
1316574064
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
STATE OF NEVADA
Practice address
2655 Enterprise Rd
Reno, NV 89512-1666
Phone
(775) 688-1600
NPI assigned
Mar 24, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Sandra Stone
Title
Management Analyst 3
Phone
(702) 486-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

2655 Enterprise Rd
Reno, NV 89512-1666

Mailing address

1350 S Jones Blvd Ste 220
Las Vegas, NV 89146-1233
Phone (702) 486-8226

Other identifiers 1

IdentifierTypeStateIssuer
250010316MedicaidNV

Other names 1

  • PRTF Enterprise Other name

National Provider Directory

National Provider Directory
Tax ID family
Elko Mental Health Cent125 organizations share this tax ID, including this one
Part of
State of Nevada

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1350 S Jones Blvd
Ste 220
Las Vegas, NV 89146

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1316574064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S JONES BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461233",
            "telephone_number": "702-486-8226",
            "fax_number": "702-486-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 ENTERPRISE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121666",
            "telephone_number": "775-688-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEVADA",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGEMENT ANALYST 3",
        "authorized_official_telephone_number": "702-486-8226"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250010316",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRTF Enterprise",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PRTF Enterprise",
            "code": "5",
            "type": "Other 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 Sep 20, 2023; 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.