Individual provider Active NPI

Michelle Anne Sahagun Perez

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1487011094
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2630 Issued in NV
Practice address
245 Mount Rose St
Reno, NV 89509-3355
Phone
(775) 448-6828
NPI assigned
Jan 27, 2016
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2630 NV Primary
Marriage & Family Therapist 106H00000X MI0644 NV

Addresses

Primary practice location

245 Mount Rose St
Reno, NV 89509-3355

Mailing address

245 Mount Rose St
Reno, NV 89509-3355
Phone (775) 448-6828

Other practice location 1

2655 Enterprise Rd
Reno, NV 89512-1666
Phone (775) 688-1600 ext. 281

Other identifiers 1

IdentifierTypeStateIssuer
1487011094MedicaidNV

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

LicenseStateTypeSpecialty
MI0644NVMDMarriage & Family Therapist
2630NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates LLC Marriage & Family Therapist CurrentSince Aug 25, 2019 Accepting new patients
G D Shoenberger, Inc. CurrentSince Aug 25, 2019 Accepting new patients

Locations

245 Mount Rose St
Reno, NV 89509
Phone (775) 219-9596

Organizations & group practices 2

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1487011094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895121666",
            "country_code": "US",
            "telephone_number": "775-688-1600 x281",
            "fax_number": "775-688-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHAGUN PEREZ",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2630",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487011094",
            "state": "NV"
        }
    ],
    "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 Aug 22, 2019; 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.