NPIMap

Organization Active NPI

Child and Adolescent Mental Health Psychiatric Services

  • Rehabilitation Counselor
  • Sparks, NV
National Provider Identifier
1548526023
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Legal business name
CHILD AND ADOLESCENT MENTAL HEALTH PSYCHIATRIC SERVICES
Practice address
1055 Roberta LN
Sparks, NV 89431-2809
Phone
(775) 331-8747
Fax
(775) 331-8754
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Pamela J Mock
Title
Billing/Insurance
Phone
(775) 331-6252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X NU Primary

Addresses

Primary practice location

1055 Roberta LN
Sparks, NV 89431-2809

Mailing address

1055 Roberta Lane
Sparks, NV 89431
Phone (775) 331-8747

National Provider Directory

National Provider Directory
Tax ID family
Child and Adolescent Mental Health Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1548526023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ROBERTA LANE",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89431",
            "telephone_number": "775-331-8747",
            "fax_number": "775-331-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312809",
            "telephone_number": "775-331-8747",
            "fax_number": "775-331-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT MENTAL HEALTH PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING/INSURANCE",
        "authorized_official_telephone_number": "775-331-6252"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.