NPIMap

Organization Active NPI

State of Nevada

Doing business as Douglas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardnerville, NV
National Provider Identifier
1972684355
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STATE OF NEVADA
Doing business as
Douglas Mental Health Center
Practice address
1538 Hwy 395 N
Ste 100
Gardnerville, NV 89410-5265
Phone
(775) 687-2160
Fax
(775) 782-6639
NPI assigned
Oct 18, 2006
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Elle Richardson-Adams
Title
Agency Manager
Phone
(702) 486-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1538 Hwy 395 N
Ste 100
Gardnerville, NV 89410-5265

Mailing address

Attn: Cyndi Smith
240 S. Humahuaca
Pahrump, NV 89048-2199
Phone (775) 751-7406

Other names 2

  • DOUGLAS MENTAL HEALTH CENTER Doing business as
  • Rural Clinics Douglas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000160 NV Part B Supplier - Clinic/Group Practice 9234022153 Receives reassigned benefits from 146 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yerington, NV; Winnemucca, NV; Tonopah, NV; Sparks, NV; Silver Springs, NV; Pahrump, NV; Mesquite, NV; Lovelock, NV…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Southern Nevada Adult Mental Health
    • Adult Mental Health Clinic/Center
    • Las Vegas, NV
    • NPI 1891756920

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Fernley Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Fernley, NV
    • NPI 1013099944

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Dayton Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Dayton, NV
    • NPI 1043300395

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Winnemucca Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Winnemucca, NV
    • NPI 1275623530

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Pahrump Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pahrump, NV
    • NPI 1285724542

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Elko Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Elko, NV
    • NPI 1306936653

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Yerington Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Yerington, NV
    • NPI 1629168984

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Carson Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Carson City, NV
    • NPI 1699865949

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Mesquite Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mesquite, NV
    • NPI 1730279092

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Ely Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Ely, NV
    • NPI 1760572010

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Silver Springs Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Silver Springs, NV
    • NPI 1811079742

    O20040212000160

    Same enrollment
  • State of Nevada

    dba Lovelock Mental Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Lovelock, NV
    • NPI 1831271766

    O20040212000160

    Same enrollment
View all 15

National Provider Directory

National Provider Directory
Tax ID family
Elko Mental Health Cent125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1972684355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: CYNDI SMITH",
            "address_2": "240 S. HUMAHUACA",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 HWY 395 N",
            "address_2": "STE 100",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105265",
            "telephone_number": "775-687-2160",
            "fax_number": "775-782-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON-ADAMS",
        "authorized_official_first_name": "ELLE",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "702-486-4400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLAS MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rural Clinics Douglas",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rural Clinics Douglas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.