Rachel Cornelius
Individual provider Active NPI Clinical Psychologist · Reno, NV
NPI 1992156129 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1992156129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY0898 (NV)
- Practice address
- 75 Pringle Way Ste 300
Reno, NV 89502-8425 - Phone
- (775) 982-3960
- Fax
- (775) 982-3727
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004881 | CO | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0004881 | CO | |
| Clinical Psychologist | 103TC0700X | PY0898 | NV | Yes |
Addresses
Primary practice location
75 Pringle Way Ste 300
Reno, NV 89502-8425
Mailing address
1155 Mill St Ms M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992156129 | Medicaid | NV |
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. 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.