American Therapeutic Association – Addiction (Substance Use Disorder) Psychologist, NPI 1922056415
Addiction (Substance Use Disorder) Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for American Therapeutic Association
1755 Sullivan Ln
Sparks, NV 894312815
Phone: (775) 355-7734
Fax: (775) 355-7759
Type: Location
1755, Sullivan Lane, Sparks, Washoe County, Nevada, 89431, United States
SPARKS, NV 894312815
Phone: (775) 355-7734
Fax: (775) 355-7759
Type: Mailing
130, Vine Street, Powning Addition, Reno, Washoe County, Nevada, 89503, United States
RENO, NV 895035546
Phone: (775) 499-5534
Fax: (775) 355-7759
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (191 days ago).
Enrollment records
1
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061005000586 | O | Clinic/Group Practice | NV | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | 5,189 | 21 | $0 |
Insurance plans in this area (ZIP 89431)
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