Provider Demographics
NPI:1184029464
Name:YVETTE KAUNISMAKI M.D., P.C.
Entity Type:Organization
Organization Name:YVETTE KAUNISMAKI M.D., P.C.
Other - Org Name:MEMOR BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYCHIARIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:KAUNISMAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-827-2400
Mailing Address - Street 1:495 APPLE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3553
Mailing Address - Country:US
Mailing Address - Phone:775-827-2400
Mailing Address - Fax:
Practice Address - Street 1:495 APPLE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3553
Practice Address - Country:US
Practice Address - Phone:775-827-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13378103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty