Jahir Treyvont Anderson
Individual provider Active NPI Community/Behavioral Health Agency · Sparks, NV
NPI 1881294932 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1881294932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 2163 Denevi Dr
Sparks, NV 89434-3457 - Phone
- (775) 432-1035
- Fax
- (775) 384-6685
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House of Hope Behavioral Center | Current |
Accepting new patients | |
| Sierra Serenity Providers, LLC. | Community/Behavioral Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2163 Denevi Dr
Sparks, NV 89434-3457
Mailing address
1075 Harbor Town Cir
Sparks, NV 89436-1821
Phone (775) 432-1035
Other providers in Sparks, NV
- Samia Amjad
- Paola Anaya Jaime
- Judd Emery Anders
- Greggory Warren Anderson
- Heidi Anderson
- Letitia Linsley Anderson
- Nicole Renee Anderson
- Travis J. Anderson
- Camille Castaneda Andras
- Andrea E Butters Aprn PLLC
All providers in Sparks, NV · Community/Behavioral Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.