Individual provider Active NPI

Herbert Fletcher Coard III, ED.D.

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1609931351
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0767 Issued in NV
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0811000974VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Resource Center CurrentSince Mar 5, 2023 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.

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.

Verify at the official NPI Registry.