Active NPI
Sierra Performance Psychology
- Clinical Psychologist
- Reno, NV
National Provider Identifier
1629670963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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
- Sierra Nevada Sleep LLC
- Sierra Orthopaedic Physical Therapy, LLC
- Sierra Orthopedics
- Sierra Peak Neuropsychology
- Sierra Pediatric Blood and Cancer Consortium
- Sierra Pines Chiropractic, Inc.
- Sierra Regional Spine Institute
- Sierra Rehabilitation Services, Inc.
- Sierra Rose Counseling Services LLC
- Sierra Rose Dialysis Center LLC
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.