Eddy House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EDDY HOUSE

Practice address

888 Willow St
Reno, NV 89502-1304

Phone

(775) 384-1129

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Amy Engelbert

Title

Qa and Compliance Director

Phone

(775) 384-1129

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Neil Boersig, LCSW

  • Clinical Social Worker
  • Reno, NV
  • NPI 1043910581
  NPD
• Jeffrey Lynn Kern Jr.

  • Clinical Social Worker
  • Reno, NV
  • NPI 1942808357
  NPD
• Amanda Karly Wishart, LCSW

  • Clinical Social Worker
  • Reno, NV
  • NPI 1861032856
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1497328207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304",
            "telephone_number": "775-384-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "ENGELBERT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "QA AND COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "775-384-1129"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Echeverria
• Lisa Marie Eckard
• Tammy Louise Eckert
• Vicky Eckert
• Vikcy Eckols
• Candace Kimberly Eddy, M.S.W., LCSW
• Eden Hospice at Carson City, LLC
• Edge Medical LLC
• Edge Medical Services
• Sarah Micayla Henderson Edge, APRN-FNP

• All providers in Reno, NV
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.