NPIMap

Organization Active NPI

Edwards and Von Ravensberg, Prof. LLC

  • Community/Behavioral Health Agency
  • Reno, NV
National Provider Identifier
1508279746
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV MFT 1098 Issued in NV
Legal business name
EDWARDS AND VON RAVENSBERG, PROF. LLC
Practice address
1325 Airmotive Way
Ste 100
Reno, NV 89502-3201
Phone
(775) 453-4143
Fax
(775) 996-5616
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Rudolph Von Ravensberg, MANPI 1184822520
Title
Owner/Psychotherapist
Phone
(775) 453-4143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV MFT 1098 NV Primary

Addresses

Primary practice location

1325 Airmotive Way
Ste 100
Reno, NV 89502-3201

Mailing address

1325 Airmotive Way
Ste 100
Reno, NV 89502-3201
Phone (775) 453-4143

Other names 1

  • Great Basin Behavioral Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

695 Sierra Rose Dr
Reno, NV 89511
Phone (775) 453-4143

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1508279746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "address_2": "STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023201",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "address_2": "STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023201",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS AND VON RAVENSBERG, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "VON RAVENSBERG",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "775-453-4143",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV MFT 1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Basin Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 6, 2015; 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.