NPIMap

Organization Active NPI

Summit BHC Sacramento, LLC

Doing business as Valley Recovery Center of Nevada-Reno Outpatient

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
National Provider Identifier
1528504115
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SUMMIT BHC SACRAMENTO, LLC
Doing business as
Valley Recovery Center of Nevada-Reno Outpatient
Practice address
10587 Double R Blvd
Suite 104
Reno, NV 89521-5868
Phone
(916) 514-8500
NPI assigned
Jan 6, 2017
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Paul Gilbert
Title
Chief Legal Officer
Phone
(615) 716-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

10587 Double R Blvd
Suite 104
Reno, NV 89521-5868

Mailing address

2221 Fair Oaks Boulevard
Sacramento, CA 95825
Phone (916) 514-8500

Other identifiers 1

IdentifierTypeStateIssuer
1386066322OtherCANPI

Other names 1

  • Valley Recovery Center of Nevada-Reno Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit BHC Sacramento LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10587 Double R Blvd
Ste 104
Reno, NV 89521
Phone (775) 853-7475

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1528504115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 FAIR OAKS BOULEVARD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-514-8500",
            "fax_number": "916-923-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10587 DOUBLE R BLVD",
            "address_2": "SUITE 104",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215868",
            "telephone_number": "916-514-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BHC SACRAMENTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-716-4924"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386066322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Recovery Center of Nevada-Reno Outpatient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Recovery Center of Nevada-Reno Outpatient",
            "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 Sep 28, 2023; 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.