Stephen Mayville a Professional Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STEPHEN MAYVILLE A PROFESSIONAL CORPORATION

Practice address

10631 Professional Cir Ste a
Reno, NV 89521-5835

Phone

(775) 826-6218

Fax

(775) 826-6271

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Mayville, PH.D.NPI 1760582506

Title

Owner

Phone

(775) 560-2196

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

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

• Stephen Bradley Mayville, PH.D.

  • Clinical Psychologist
  • Reno, NV
  • NPI 1760582506
  Medicare reassignment Care Compare group NPD Authorized official
• Jodi Jones, LCSW

  • Clinical Social Worker
  • Reno, NV
  • NPI 1750726717
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1588289102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70711",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895700711",
            "telephone_number": "775-560-2196",
            "fax_number": "775-826-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 PROFESSIONAL CIR STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215835",
            "telephone_number": "775-826-6218",
            "fax_number": "775-826-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MAYVILLE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MAYVILLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-560-2196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaterina A. Stepanova, MD
• Stephanie Schoen
• Stephen G. Grace, M.D., LTD.
• Stephen Holtzclaw MD PC Reno
• Stephen L. Sims DMD, Inc.
• Anna Stephens Brandon
• Amy Juliene Stephens, CTRS
• Dekesya Stephens
• Frankie Stephens
• Patricia Leigh Stephens

• Mental Health Clinic/Center (Including Community Mental Health Center) in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.