Organization Active NPI

Sierra Performance Psychology

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1629670963
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIERRA PERFORMANCE PSYCHOLOGY
Practice address
5595 Kietzke LN Ste 110
Reno, NV 89511-3029
Phone
(775) 300-0576
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Quinten Lynn, PHD
Title
Owner
Phone
(775) 300-0576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5595 Kietzke LN Ste 110
Reno, NV 89511-3029

Mailing address

10813 Rushing Flume Dr
Reno, NV 89521-6205

Other names 1

  • Mt Rose Counseling and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5595 Kietzke Ln
Ste 110
Reno, NV 89511
Phone (775) 300-0576

1875 Plumas St
Reno, NV 89509

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1629670963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10813 RUSHING FLUME DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 KIETZKE LN STE 110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113029",
            "telephone_number": "775-300-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PERFORMANCE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "QUINTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-300-0576",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Rose Counseling and Wellness",
            "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 Jun 22, 2022; 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.