Individual provider Active NPI

Josette Ann Iribarne-Lazcano, PHD

  • Clinical Psychologist
  • Minden, NV
National Provider Identifier
1326348764
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0921 Issued in NV
Practice address
1650 Lucerne St Ste 205
Minden, NV 89423-4312
Phone
(775) 391-0354
NPI assigned
Nov 2, 2010
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0921 NV Primary

Addresses

Primary practice location

1650 Lucerne St Ste 205
Minden, NV 89423-4312

Mailing address

1140 North Fork Trail
Minden, NV 89423-0782
Phone (775) 750-1272

Other practice location 1

1665 Old Hot Springs Rd
Carson City, NV 89706-0782
Phone (775) 687-4195 ext. 321

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sierrapsychologicalservices@gmail.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002432 NV Practitioner - Clinical Psychologist 0648692046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

1665 Old Hot Springs Rd
Suite 150
Carson City, NV 89706-0668
Phone (775) 687-0870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince May 31, 2022 Accepting new patients
Health Psychology Associates LLC CurrentSince May 9, 2020 Accepting new patients
G D Shoenberger, Inc. Clinical CurrentSince May 9, 2020 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince May 31, 2022 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

4150 Technology Way
Ste 100
Carson City, NV 89706

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

245 Mount Rose St
Reno, NV 89509
Phone (775) 448-6828

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1326348764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORTH FORK TRAIL",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894230782",
            "telephone_number": "775-750-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234312",
            "telephone_number": "775-391-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Old Hot Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060782",
            "country_code": "US",
            "telephone_number": "775-687-4195 x321",
            "fax_number": "775-687-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIBARNE-LAZCANO",
        "first_name": "JOSETTE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sierrapsychologicalservices@gmail.com",
            "affiliation": "N",
            "address_1": "963 Topsy Lane Suite 306 154",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897058970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.