Individual provider Active NPI

Brian Moran Chapman

  • Marriage & Family Therapist
  • Carson City, NV
National Provider Identifier
1760940068
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI1140 Issued in NV
Practice address
755 N Roop St
Carson City, NV 89701-3113
Phone
(775) 722-1326
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI1140 NV Primary

Addresses

Primary practice location

755 N Roop St
Carson City, NV 89701-3113

Mailing address

4885 Mountainshyre Rd
Reno, NV 89519-0960
Phone (775) 722-1326

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002391 NV Practitioner - Marriage and Family Therapist 1759728306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI1140NVMDMarriage & Family Therapist
4200NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 500-0396

Organizations & group practices 1

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1760940068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 MOUNTAINSHYRE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190960",
            "telephone_number": "775-722-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013113",
            "telephone_number": "775-722-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "BRIAN",
        "middle_name": "MORAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.