Individual provider Active NPI

Yvette Renee Kaunismaki, MD

  • Psychiatry Physician
  • Sparks, NV
National Provider Identifier
1750595252
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13378 Issued in NV
Practice address
480 Galletti Way
Sparks, NV 89431-5564
Phone
(775) 688-2001
Fax
(775) 688-2004
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 13378 NV Primary

Addresses

Primary practice location

480 Galletti Way
Sparks, NV 89431-5564

Mailing address

480 Galletti Way
Sparks, NV 89431-5564
Phone (775) 688-2001

Other identifiers 1

IdentifierTypeStateIssuer
13378OtherNVSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000031 NV Practitioner - Psychiatry 6709060734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nevada School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yvette Kaunismaki MD PCGroup PAC ID 1355627597, 11 clinicians

Practice addresses (Care Compare)

10405 Double R Blvd
Reno, NV 89521-8905
Phone (775) 827-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13378NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renovation Mental Health Services, LLC CurrentSince Aug 11, 2019 Accepting new patients
State of Nevada CurrentSince Jan 2, 2016 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Jan 2, 2016 Accepting new patients
Northern Nevada HIV Outpatient Program Education and Services Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

495 Apple St
Ste 100
Reno, NV 89502
Phone (775) 525-0270

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1750595252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315564",
            "telephone_number": "775-688-2001",
            "fax_number": "775-688-2004"
        },
        {
            "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": "775-688-2001",
            "fax_number": "775-688-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUNISMAKI",
        "first_name": "YVETTE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "13378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13378",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.