Individual provider Active NPI

Haley Victoria Kuykendall, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1437814266
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10093-C Issued in NV
Practice address
690 Edison Way
Reno, NV 89502-4100
Phone
(775) 858-4590
NPI assigned
Nov 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10093-C NV Primary

Addresses

Primary practice location

690 Edison Way
Reno, NV 89502-4100

Mailing address

690 Edison Way
Reno, NV 89502-4100
Phone (775) 858-4590

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531002035 NV Practitioner - Psychiatry 0244697613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diana Wright Psy D LLCGroup PAC ID 7113263971, 18 clinicians

Practice addresses (Care Compare)

4600 Kietzke LN
Suite N250
Reno, NV 89502-5000
Phone (775) 507-7222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10093-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC Clinical CurrentSince May 2, 2023 Accepting new patients

Locations

4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 500-0396

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1437814266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-858-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-858-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "HALEY",
        "middle_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10093-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.