Basic Information
| Provider Information | |||||||||
| NPI: | 1548336209 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RENO PSYCHIATRIC ASSOCIATES PLLC | ||||||||
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| OtherOrganizationName: | MENTAL HEALTH MEDICAL ASSOC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6151 LAKESIDE DRIVE | ||||||||
| Address2: | 2001 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895118545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753294284 | ||||||||
| FaxNumber: | 7753292550 | ||||||||
| Practice Location | |||||||||
| Address1: | 6151 LAKESIDE DRIVE | ||||||||
| Address2: | 2001 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895118545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753294284 | ||||||||
| FaxNumber: | 7753292550 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2006 | ||||||||
| LastUpdateDate: | 08/09/2022 | ||||||||
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| AuthorizedOfficialLastName: | DRYMALSKI | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7753294284 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 08/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.