Active NPI
Herbert Fletcher Coard III, ED.D.
- Clinical Psychologist
- Reno, NV
National Provider Identifier
1609931351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0767
- Practice address
- 6490 S McCarran Blvd Ste B18
Reno, NV 89509-6121 - Phone
- (775) 562-4509
- Fax
- (775) 800-7033
- NPI assigned
- Dec 22, 2006
- Last updated
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0811000974 | VA | |
| Clinical Psychologist | 103TC0700X | 0810003855 | VA | |
| Clinical Psychologist | 103TC0700X | PY0767 | NV | Primary |
Addresses
Primary practice location
6490 S McCarran Blvd Ste B18
Reno, NV 89509-6121
Mailing address
6490 S McCarran Blvd Ste B18
Reno, NV 89509-6121
Phone (775) 562-4509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0811000974 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sage Resource Center | Current | Accepting new patients |
Locations
6490 S McCarran Blvd
Ste B18
Reno, NV 89509
Phone (775) 562-4509
Organizations & group practices 1
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/Behavioral Health Agency
- Reno, NV
- NPI 1699474353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1609931351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6490 S MCCARRAN BLVD STE B18",
"city": "RENO",
"state": "NV",
"postal_code": "895096121",
"telephone_number": "775-562-4509",
"fax_number": "775-800-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 S MCCARRAN BLVD STE B18",
"city": "RENO",
"state": "NV",
"postal_code": "895096121",
"telephone_number": "775-562-4509",
"fax_number": "775-800-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COARD",
"first_name": "HERBERT",
"middle_name": "FLETCHER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0811000974",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003855",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.