Organization Active NPI

Heal Therapy of Nevada

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1831342617
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-509 Issued in NV
Legal business name
HEAL THERAPY OF NEVADA
Practice address
405 N Roop St
Carson City, NV 89701
Phone
(775) 884-9911
NPI assigned
Oct 24, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Suzanne Pindell
Title
Owner
Phone
(775) 884-9911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 24336 CA
Clinical Social Worker 1041C0700X IC-509 NV Primary

Addresses

Primary practice location

405 N Roop St
Carson City, NV 89701

Mailing address

405 N Roop St
Carson City, NV 89701-4778
Phone (775) 884-9911

Other identifiers 1

IdentifierTypeStateIssuer
1124219712OtherNVMEDICAID PROVIDER GROUP NPI

National Provider Directory

National Provider Directory

Locations

405 N Roop St
Carson City, NV 89701
Phone (775) 884-9911

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1831342617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N ROOP ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014778",
            "telephone_number": "775-884-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N ROOP ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89701",
            "telephone_number": "775-884-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THERAPY OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "PINDELL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-884-9911"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 24336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER GROUP NPI",
            "identifier": "1124219712",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.