Active NPI
Gabriela Olavarrieta, PSY.D
- Clinical Psychologist
- Reno, NV
National Provider Identifier
1396290821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1052
- Practice address
- 745 W Moana LN
Reno, NV 89509-4991 - Phone
- (415) 299-1802
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY1052 | NV | Primary |
Addresses
Primary practice location
745 W Moana LN
Reno, NV 89509-4991
Mailing address
10550 Blockade Dr
Reno, NV 89521-5266
Phone (415) 299-1802
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 |
|---|---|---|---|
| PY1052 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1396290821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10550 BLOCKADE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895215266",
"telephone_number": "415-299-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895094991",
"telephone_number": "415-299-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAVARRIETA",
"first_name": "GABRIELA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY1052",
"primary": true
}
],
"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 Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.