Organization Active NPI

St Huerta Four Square Clinicals Professional Corporation

Doing business as Four Square Clinicals

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1508473034
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION
Doing business as
Four Square Clinicals
Practice address
100 N Arlington Ave Ste 340a
Reno, NV 89501-1248
Phone
(775) 238-3082
Fax
(844) 872-5607
NPI assigned
Sep 29, 2020
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dr. Steven Thomas Huerta, DNPNPI 1558607440
Title
Director
Phone
(775) 238-3082

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

100 N Arlington Ave Ste 340a
Reno, NV 89501-1248

Mailing address

650 N Rose Dr Ste 472
Placentia, CA 92870-7513
Phone (714) 345-6944

Other practice location 1

2017 Pinto Ln
Las Vegas, NV 89106-4018
Phone (775) 238-3082

Other names 1

  • Four Square Clinicals Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250129001959 NV Part B Supplier - Clinic/Group Practice 1153733803 Receives reassigned benefits from 2 practitioners
Practice locations: Reno, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2017 Pinto Ln
Las Vegas, NV 89106
Phone (702) 333-2620

343 Elm St
Ste 308
Reno, NV 89503
Phone (469) 983-0099

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1508473034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ROSE DR STE 472",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707513",
            "telephone_number": "714-345-6944",
            "fax_number": "844-872-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ARLINGTON AVE STE 340A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011248",
            "telephone_number": "775-238-3082",
            "fax_number": "844-872-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 Pinto Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064018",
            "country_code": "US",
            "telephone_number": "775-238-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-238-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Square Clinicals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Square Clinicals",
            "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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.