Marianne Michelle Kabour, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY1088 Issued in NV

Practice address

1000 Ryland St
Reno, NV 89502-1748

Phone

(775) 982-5000

NPI assigned

Nov 28, 2006

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkabour192866@direct.renown.org

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.

• Community Care Services LLC

  dba Community Care Services

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768
  Medicare reassignment NPD
• Legacy Emanuel Hospital & Health Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1831112358
  Medicare reassignment NPD
• Community Care Services LLC

  dba Renown Radiology

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Community Care Services LLC

  dba Renown Medical Group - Behavioral Health

  • Psychiatry Physician
  • Reno, NV
  • NPI 1932670478
  NPD
• Legacy Emanuel Hospital & Health Center

  dba Apothecary at Emanuel Hospital

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1417977976
  NPD
• Legacy Emanuel Hospital & Health Center

  • Clinic/Center
  • Portland, OR
  • NPI 1700809027
  NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1528134772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23516 NE 237TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986045132",
            "telephone_number": "650-793-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RYLAND ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021748",
            "telephone_number": "775-982-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 N Gantenbein Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-276-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABOUR",
        "first_name": "MARIANNE",
        "middle_name": "MICHELLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "2566",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "PY1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687042",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Hope Foundation
• Tari Lynn Justis, APN
• Sonia Juvera
• K Sasse Surgical Associates, Professional Corporation
• Richul Kabir
• Axenya Kachen, MPH
• Jon Kadas, RN
• Kristine Kadel
• Pamela Sue Kadel, LPN
• Jack Kading, APRN

• Clinical Child & Adolescent Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Child & Adolescent Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.