Rita A. Carlson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Reno, NV
NPI 1790022952 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1790022952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY0903 (NV)
- Practice address
- 1201 Terminal Way Ste 111
Reno, NV 89502-3398 - Phone
- (775) 657-8566
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
191 Shady Grove LN
Dayton, NV 89403-6364
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0903 | NV | Yes |
Addresses
Primary practice location
1201 Terminal Way Ste 111
Reno, NV 89502-3398
Mailing address
191 Shady Grove LN
Dayton, NV 89403-6364
Phone (775) 315-2980
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.