Organization Active NPI

Bobbi Nemovicher P.C.

Doing business as Tahoe Treatment Center

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1619204021
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5464-C Issued in NV
Legal business name
BOBBI NEMOVICHER P.C.
Doing business as
Tahoe Treatment Center
Practice address
6490 S McCarran Blvd
Ste D1-28
Reno, NV 89509-6165
Phone
(775) 826-6218
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Bobbi Nemovicher, LCSWNPI 1598937575
Title
President
Phone
(775) 233-8320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5464-C NV Primary

Addresses

Primary practice location

6490 S McCarran Blvd
Ste D1-28
Reno, NV 89509-6165

Mailing address

10701 Laburnham Cir
Truckee, CA 96161-1317

Other names 1

  • Tahoe Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910004158 NV Part B Supplier - Clinic/Group Practice 3870815947 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

5421 Kietzke Ln
Ste 202
Reno, NV 89511
Phone (775) 636-8289

5595 Kietzke Ln
Ste 108
Reno, NV 89511
Phone (775) 636-8289

6490 S McCarran Blvd
Ste D128
Reno, NV 89509
Phone (775) 826-6218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1619204021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 LABURNHAM CIR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD",
            "address_2": "STE D1-28",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096165",
            "telephone_number": "775-826-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI NEMOVICHER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "NEMOVICHER",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-233-8320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5464-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahoe Treatment Center",
            "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 Nov 5, 2009; 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.