NPIMap

Organization Active NPI

State of Nevada

Doing business as Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
National Provider Identifier
1760572010
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STATE OF NEVADA
Doing business as
Ely Mental Health Center
Practice address
1675 Avenue F
Ely, NV 89301-3500
Phone
(775) 289-1671
Fax
(775) 289-1561
NPI assigned
Oct 14, 2006
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Ellen Richardson-Adams
Title
Agency Manager
Phone
(702) 486-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1675 Avenue F
Ely, NV 89301-3500

Mailing address

Attn: Cyndi Smith
240 S. Humahuaca
Pahrump, NV 89048-2199
Phone (775) 751-7406

Other names 2

  • ELY MENTAL HEALTH CENTER Doing business as
  • Rural Clinics Ely Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000160 NV Part B Supplier - Clinic/Group Practice 9234022153 Receives reassigned benefits from 146 practitioners
15 other NPIs on this enrollment
Practice locations: Yerington, NV; Winnemucca, NV; Tonopah, NV; Sparks, NV; Silver Springs, NV; Pahrump, NV; Mesquite, NV; Lovelock, NV…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Southern Nevada Adult Mental Health
    • Adult Mental Health Clinic/Center
    • Las Vegas, NV
    • NPI 1891756920

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Fernley Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Fernley, NV
    • NPI 1013099944

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Dayton Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Dayton, NV
    • NPI 1043300395

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Winnemucca Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Winnemucca, NV
    • NPI 1275623530

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Pahrump Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pahrump, NV
    • NPI 1285724542

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Elko Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Elko, NV
    • NPI 1306936653

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Yerington Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Yerington, NV
    • NPI 1629168984

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Carson Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Carson City, NV
    • NPI 1699865949

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Mesquite Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mesquite, NV
    • NPI 1730279092

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Silver Springs Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Silver Springs, NV
    • NPI 1811079742

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Lovelock Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Lovelock, NV
    • NPI 1831271766

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Fallon Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Fallon, NV
    • NPI 1851481113

    O20040212000160

    Same enrollment
View all 15

National Provider Directory

National Provider Directory
Tax ID family
State of Nevada Bureau125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Nevada Adult Mental Health ServicesSparks, NV, CCN 294000 Hospital Other May 6, 2013
Southern Nevada Adult Mental Health ServicesLas Vegas, NV, CCN 294002 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Southern Nevada State Veterans Home - Boulder CityBoulder City, NV, CCN 295081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 24, 2002
Sep 24, 2002
Sep 24, 2002
Northern Nevada State Veterans HomeSparks, NV, CCN 295105 Skilled nursing facility Adp of the SNF Feb 15, 2019

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1760572010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: CYNDI SMITH",
            "address_2": "240 S. HUMAHUACA",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AVENUE F",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013500",
            "telephone_number": "775-289-1671",
            "fax_number": "775-289-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON-ADAMS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "702-486-4400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELY MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rural Clinics Ely",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rural Clinics Ely",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ely, NV

Sources for this page

Verify at the official NPI Registry.