Organization Active NPI

Sierra Nevada Behavioral Healthcare LTD

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1932905155
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SIERRA NEVADA BEHAVIORAL HEALTHCARE LTD
Practice address
3675 Lakeside Dr Ste B
Reno, NV 89509-4861
Phone
(775) 343-6305
Fax
(844) 548-7007
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Okechukwu OlisaNPI 1215264528
Title
Owner
Phone
(775) 343-6305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3675 Lakeside Dr Ste B
Reno, NV 89509-4861

Mailing address

1580 Sutterbrook Way
Reno, NV 89521-6176
Phone (775) 343-6305

Other names 1

  • Sierra Nevada Behavioral Healthcare LTD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625003697 NV Part B Supplier - Clinic/Group Practice 0941712756 Receives reassigned benefits from 2 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1932905155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SUTTERBROOK WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216176",
            "telephone_number": "775-343-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 LAKESIDE DR STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094861",
            "telephone_number": "775-343-6305",
            "fax_number": "844-548-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA BEHAVIORAL HEALTHCARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "OLISA",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-343-6305"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Behavioral Healthcare LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra Nevada Behavioral Healthcare LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.