Childandfamilyservices

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

7777777 Issued in NV

Legal business name

CHILDANDFAMILYSERVICES

Practice address

480 Galletti Way
Sparks, NV 89431-5564

Phone

(775) 688-1633

NPI assigned

Oct 26, 2010

Organization subpart

Yes

Parent organization

CHILDERN BEHAVIORAL SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Ryan Gustafson, MA

Title

Program Manger

Phone

(775) 688-1633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• adoludit treatment center Other name

Part of

Bloomington Fire Department

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1740580612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480GALLETTI WAY BLDG 9",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315564",
            "telephone_number": "775-688-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDANDFAMILYSERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDERN BEHAVIORAL SERVICES",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PROGRAM MANGER",
        "authorized_official_telephone_number": "775-688-1633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": "7777777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7777777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "adoludit treatment center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Cheung, OD
• Joseph Cheung Jr.
• Clair Chiaratti
• Child and Adolescent Mental Health Psychiatric Services
• Child and Adolescent Mental Health Psychiatric Services
• Cheryl Chinnici, RPH
• Chirofit Enterprises LLC
• Sheena Chourappa
• Chesarae Christean
• Rylee Christensen

• Emotionally Disturbed Childrens' Residential Treatment Facility in Sparks, NV
• Providers in Sparks, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.