Active NPI
Deborah J. Ribnick, PHD, PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reno, NV
National Provider Identifier
1730366428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- PY0319
- Legal business name
- DEBORAH J. RIBNICK, PHD, PC
- Practice address
- 5595 Kietzke LN
Suite 110E
Reno, NV 89511-3029 - Phone
- (775) 786-1234
- Fax
- (775) 852-7169
- NPI assigned
- Jan 25, 2008
- 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
- Dr. Deborah J Ribnick, PHD
- Title
- Psychologist
- Phone
- (775) 786-1234
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PY0319 | NV | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | PY0319 | NV | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | PY0319 | NV |
Addresses
Primary practice location
5595 Kietzke LN
Suite 110E
Reno, NV 89511-3029
Mailing address
5595 Kietzke LN
Suite 110E
Reno, NV 89511-3029
Phone (775) 786-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34267 | Other | NV | MEDICARE ID NUMBER |
| 002616072 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
770 Trademark Dr
Ste 228
Reno, NV 89521
Phone (775) 786-1234
5595 Kietzke Ln
Ste 110E
Reno, NV 89511
Phone (775) 786-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Reno, NV
- NPI 1710108691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397174400000",
"number": "1730366428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 KIETZKE LN",
"address_2": "SUITE 110E",
"city": "RENO",
"state": "NV",
"postal_code": "895113029",
"telephone_number": "775-786-1234",
"fax_number": "775-852-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 KIETZKE LN",
"address_2": "SUITE 110E",
"city": "RENO",
"state": "NV",
"postal_code": "895113029",
"telephone_number": "775-786-1234",
"fax_number": "775-852-7169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH J. RIBNICK, PHD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2014-04-11",
"status": "A",
"authorized_official_last_name": "RIBNICK",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "775-786-1234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NV",
"license": "PY0319",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NV",
"license": "PY0319",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NV",
"license": "PY0319",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID NUMBER",
"identifier": "34267",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002616072",
"state": "NV"
}
],
"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 Apr 11, 2014; 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.