| Gentry Integrated Sleep And Wellness Pllc | |
|
10631 Professional Cir Ste A Reno NV 89521-5835 | |
| (775) 826-6218 | |
| Not Available |
| Full Name | Gentry Integrated Sleep And Wellness Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10631 Professional Cir Ste A, Reno, Nevada |
| Authorized Official Name and Position | Ruth Anne Gentry (DIRECTOR) |
| Authorized Official Contact | 7758266218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentry Integrated Sleep And Wellness Pllc 10631 Professional Cir Ste A Reno NV 89521-5835 Ph: (775) 826-6218 | Gentry Integrated Sleep And Wellness Pllc 10631 Professional Cir Ste A Reno NV 89521-5835 Ph: (775) 826-6218 |
| NPI Number | 1154744738 |
|---|---|
| Provider Enumeration Date | 02/02/2014 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 8224252457 |
|---|---|
| Medicare Enrollment ID | O20140610000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154744738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0659 (Nevada) | Primary |
| Provider Name | Ruth A Gentry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407122724 PECOS PAC ID: 9133343361 Enrollment ID: I20140612000903 |
| Provider Name | Joel Burg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609392539 PECOS PAC ID: 7113265646 Enrollment ID: I20190208000087 |
| Provider Name | Jodi L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750726717 PECOS PAC ID: 5799010708 Enrollment ID: I20190712002991 |
| Provider Name | Kaitlind E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043856198 PECOS PAC ID: 0941625271 Enrollment ID: I20200810001391 |
| Provider Name | Sarah J Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699017186 PECOS PAC ID: 6204254394 Enrollment ID: I20200922003161 |
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