Organization Active NPI

Pebbles Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1740855097
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEBBLES PSYCHIATRY LLC
Practice address
515 Court Street
Lower Level Suite D
Reno, NV 89501
Phone
(775) 418-5990
Fax
(775) 418-5991
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Christine Yvette Pebbles, DNP, APRN, PMHNP-BC
Title
Psychiatric NP/Owner
Phone
(775) 418-5990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

515 Court Street
Lower Level Suite D
Reno, NV 89501

Mailing address

PO Box 51630
Sparks, NV 89435-1630
Phone (775) 418-5990

Other names 1

  • Pebbles Psychiatry LLC Doing business as

National Provider Directory

National Provider Directory

Locations

515 Court St
Lowr Levl
Reno, NV 89501
Phone (775) 418-5990

515 Court St
Lowr
Reno, NV 89501
Phone (775) 980-2022

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1740855097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51630",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894351630",
            "telephone_number": "775-418-5990",
            "fax_number": "775-418-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COURT STREET",
            "address_2": "LOWER LEVEL SUITE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89501",
            "telephone_number": "775-418-5990",
            "fax_number": "775-418-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLES PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "PEBBLES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PSYCHIATRIC NP/OWNER",
        "authorized_official_telephone_number": "775-418-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pebbles Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pebbles Psychiatry LLC",
            "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 Jan 4, 2023; 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.