1760150874 NPI number — BEST PRACTICES PSYCHIATRIC & MENTAL HEALTH PLLC

Table of content: (NPI 1760150874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760150874 NPI number — BEST PRACTICES PSYCHIATRIC & MENTAL HEALTH PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST PRACTICES PSYCHIATRIC & MENTAL HEALTH PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1760150874
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3495 LAKESIDE DR # 1362
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89509-4841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-516-0832
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5470 KIETZKE LANE SUITE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-516-0832
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
COAXUM
Authorized Official First Name:
SALEMA
Authorized Official Middle Name:
Authorized Official Title or Position:
DR. /PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Telephone Number:
775-224-7099

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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