DR. LARRY JAY NUSSBAUM MD NPI 1649340985

NPI Information

  • NPI: 1649340985
  • Provider Name: DR. LARRY JAY NUSSBAUM, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 5190 NEIL RD
    215
    RENO, NV
    ZIP 89502
  • Phone: (775) 784-4917

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NPI Details

DR. Larry Jay Nussbaum, MD is a child and adolescent psychiatry psychiatry neurology in Reno, NV. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Larry Jay Nussbaum, MD NPI is 1649340985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5190 NEIL RD
215
RENO, NV
ZIP 89502-599
Phone: (775) 784-4917
Fax: (775) 784-1428

The enumeration date for this NPI number is 11/8/2006 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry5131NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CR694YMEDICARE PINNEVADA
2100507985MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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