My Brothers Keeper Behavior Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MY BROTHERS KEEPER BEHAVIOR HEALTH

Practice address

525 Terracina Way
Reno, NV 89521-3206

Phone

(702) 334-0801

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Ricardo Cobb

Title

Program Manager

Phone

(702) 334-0801

Specialties & licenses 2

Addresses

Other names 1

• My Brothers Keeper Former legal business name

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366961336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TERRACINA WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213206",
            "telephone_number": "702-334-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TERRACINA WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213206",
            "telephone_number": "702-334-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHERS KEEPER BEHAVIOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "702-334-0801"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Brothers Keeper",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaden C Mustacchio, PA-C
• Asem Ali Mutasher, M.D.
• Alexis Mutisya, BEHAVIOR TECHNICIAN
• George Jasson Mwanjabala, C.N.A (Q.B.A)
• Emily Wangeci Mwaura
• My Family Connection, LLC
• My Hearing Centers, LLC
• My Home Ice
• My Home Inc
• My Journey Home, Inc

• Mental Illness Community Based Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.