Healthcare Provider Details

I. General information

NPI: 1851209241
Provider Name (Legal Business Name): PARKS PSYCHIATRY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 CAUGHLIN PKWY STE 3
RENO NV
89519-0906
US

IV. Provider business mailing address

1036 LONGVIEW DR
OAKDALE CA
95361-8992
US

V. Phone/Fax

Practice location:
  • Phone: 775-204-5317
  • Fax: 775-204-3381
Mailing address:
  • Phone: 209-328-4148
  • Fax: 775-204-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIELLE PARKS
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 209-328-4148