NPIMap

Organization Active NPI

Sagebrush Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1982360137
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAGEBRUSH PSYCHIATRY, PLLC
Practice address
5470 Kietzke LN Ste 300
Reno, NV 89511-2099
Phone
(775) 410-0189
Fax
(775) 339-0105
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Jeffrey Wright Bayless, PMHNP-BCNPI 1598201972
Title
Founder
Phone
(512) 436-5841

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

5470 Kietzke LN Ste 300
Reno, NV 89511-2099

Mailing address

11885 Claim Stake Dr
Reno, NV 89506-7540
Phone (512) 436-5841

Other identifiers 3

IdentifierTypeStateIssuer
247220OtherAZAPRN LICENSE
187410OtherAKAPRN LICENSE
829036OtherNVAPRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sagebrushpsychiatry.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

515 Court St
Reno, NV 89501
Phone (775) 410-0189

Practitioners & affiliated clinicians

Practitioners 3

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1982360137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 CLAIM STAKE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067540",
            "telephone_number": "512-436-5841",
            "fax_number": "775-339-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 KIETZKE LN STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112099",
            "telephone_number": "775-410-0189",
            "fax_number": "775-339-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEBRUSH PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "512-436-5841",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "247220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "187410",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "829036",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sagebrushpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "11885 Claim Stake Dr",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895067540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 3, 2023; 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.