Healthcare Provider Details

I. General information

NPI: 1700598554
Provider Name (Legal Business Name): GABRIEL BAREN PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7135 BANBURY CT
RENO NV
89523-7103
US

IV. Provider business mailing address

7135 BANBURY CT
RENO NV
89523-7103
US

V. Phone/Fax

Practice location:
  • Phone: 775-287-3235
  • Fax:
Mailing address:
  • Phone: 775-800-1382
  • Fax: 775-800-1382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number817301
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: