Larry Jay Nussbaum, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

5131 Issued in NV

Practice address

5190 Neil Rd
215
Reno, NV 89502-6599

Phone

(775) 784-4917

Fax

(775) 784-1428

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unsom Multi-Spec GRP Pract S

  • Surgery Physician
  • Henderson, NV
  • NPI 1053739268
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1649340985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST",
            "address_2": "SUITE 235D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035345",
            "telephone_number": "775-382-8175",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD",
            "address_2": "215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026599",
            "telephone_number": "775-784-4917",
            "fax_number": "775-784-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "LARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507985",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Nunez
• Junice O. Nunez, MS, LCPC, LMHC
• Maria Nunez
• Vibeke Nunez, CRNA
• James C Nunley, MD
• Nutrition a&M
• Nutrition Connection LLC
• Melvin L Nutter, D.O.
• Amanda Kay Nutting, CADC-I
• NV MC Sprout 1 LLC

• Child & Adolescent Psychiatry Physician in Reno, NV
• Providers in Reno, NV by specialty
• Child & Adolescent Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.