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NPI 1104482918 · live from the CMS NPI Registry

Washoe Barton Medical Clinic A Nevada Nonprofit Corporation

Community/Behavioral Health in Gardnerville, NV. National Provider Identifier 1104482918, active.

NPI record

NPI1104482918 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location1107 Us Highway 395 N, Gardnerville, NV 89410
Practice phone775-782-1630
EnumeratedMay 16, 2019
Last updatedJune 30, 2020
Authorized officialGina Zink, Director Of Behavioral Health
Other namesCvmc Outpatient Behavioral Health Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Counselor, Professional101YP2500X—
Psychologist103T00000X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Registered Nurse, Case Management163WC0400X—
Psychiatry & Neurology, Psychiatry2084P0800X—
General Acute Care Hospital, Critical Access282NC0060X—
Community/Behavioral Health primary251S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.