Active NPI
Yvette Renee Kaunismaki, MD
- Psychiatry Physician
- Sparks, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13378 | Other | NV | STATE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13378 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renovation Mental Health Services, LLC | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reno, NV
- NPI 1184029464
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1649615683
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pahrump, NV
- NPI 1285724542
-
- Internal Medicine Physician
- Reno, NV
- NPI 1649699869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.