Jack Richard Araza, PH.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

96 Issued in NV

Practice address

309 East John St. Ste #1
Carson City, NV 89706

Phone

(775) 885-0206

Fax

(775) 883-2720

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite of Passage Adolescent Treatment Centers and Schools, Inc.

  • Psychiatric Residential Treatment Facility
  • Yerington, NV
  • NPI 1568549111
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992926646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EAST JOHN ST. STE #1",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EAST JOHN ST. STE #1",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89706",
            "telephone_number": "775-885-0206",
            "fax_number": "775-883-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAZA",
        "first_name": "JACK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2613002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Christine Aning, APRN
• Linda Anngela-Cole, LCSW
• Michael Antonelli, DO
• John C Anxo, MD
• Terry A Aperule, CADC
• Steven Arcangeli, MD
• Devon C Ardesco
• Arika Gupta M.D. Inc
• Heather L Armand, APRN
• Jahaziel Armas, TCM

• All providers in Carson City, NV
• Clinical Child & Adolescent Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.