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RADIANCE KETAMINE CLINIC
NPI 1912543968
Psychiatry & Neurology - Psychiatry in Reno, NV

Active since November 25, 2019
5365 MAE ANNE AVE STE A10, RENO, NV 89523(775) 432-1500(775) 432-1002 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2020, Dec 17, 2019, Nov 25, 2019 (3 updates tracked since 2019).

About Radiance Ketamine Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIANCE KETAMINE CLINIC (NPI 1912543968) is a healthcare organization registered as a psychiatry in Reno, Nevada and active in the NPI registry since November 2019. The organization lists Greg Jones, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1912543968
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePRIDE MEDICAL SPA AND WELLNESS CENTER INC
Location Address5365 MAE ANNE AVE STE A10Reno, NV 89523-1841
Mailing Address5365 Mae Anne Ave Ste A10Reno, NV 89523-1841 · (775) 432-1500 · Fax (775) 432-1002
Phone(775) 432-1500
Fax(775) 432-1002
Organization SubpartNo
Authorized OfficialGreg JonesClinic Director · (775) 217-0332
Enumeration DateNovember 25, 2019
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1912543968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5365 MAE ANNE AVE STE A10, Reno, NV 89523
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Other Names 1

Doing Business AsRadiance Ketamine Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA JASMIN CHUNG ARNAIZ NURSE PRACTITIONER
Nurse Practitioner (Family)
5365 MAE ANNE AVE STE A10
RENO, NV 89523
Washoe County (775) 432-1500
GOING PLACES
Respite Care
5365 MAE ANNE AVE STE A10
RENO, NV 89523
Washoe County (775) 342-7323
GOING PLACES
Community Based Residential Treatment Facility, Mental Illness
5365 MAE ANNE AVE STE A10
RENO, NV 89523
Washoe County (775) 323-6222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pride Medical Spa And Wellness Center Inc's NPI number?

The NPI number for Pride Medical Spa And Wellness Center Inc is 1912543968. It was assigned to this organization in the NPPES registry on November 25, 2019. The provider is doing business as Radiance Ketamine Clinic.

Where is Pride Medical Spa And Wellness Center Inc located?

Pride Medical Spa And Wellness Center Inc is located at 5365 Mae Anne Ave Ste A10, Reno, NV 89523. The listed phone number is (775) 432-1500.

What is Pride Medical Spa And Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Pride Medical Spa And Wellness Center Inc was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.