Mountain Employee Assistance Program

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY044 Issued in NV

Legal business name

MOUNTAIN EMPLOYEE ASSISTANCE PROGRAM

Practice address

1091 Haskell Street
Reno, NV 89509

Phone

(775) 322-6066

Fax

(775) 322-6566

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Frank Evarts, PH.D.

Title

President, Clinical Director

Phone

(775) 322-6066

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Frank Evarts, Inc.

  dba Psychological Services of Frank Evarts

  • Psychologist
  • Reno, NV
  • NPI 1518204437

  O20040423000213

  Same enrollment

Locations

Practitioners 1

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

• Stacy Uptain, M.A. MFT

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1992030068
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1982873071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 HASKELL STREET",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-322-6066",
            "fax_number": "775-322-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 HASKELL STREET",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-322-6066",
            "fax_number": "775-322-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EMPLOYEE ASSISTANCE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "EVARTS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "775-322-6066",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002616023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Circle Family Services, Inc.
• Mountain Circle Family Services, Inc.
• Mountain Circle Family Services, Inc.
• Mountain Circle Family Services, Inc.
• Mountain Crest Therapy LLC
• Mountain Meadow Counseling Services PLLC
• Mountain Sage Mental Health
• Mountain West Derm - Blackhart PLLC
• Mountain West Surgical Center, LLC
• Matthew Mountain, RBT

• Clinical Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.