Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pride Medical Spa and Wellness Center Inc

Organization Psychiatry Physician · NPI 1912543968

Pride Medical Spa and Wellness Center Inc is a Psychiatry Physician in Reno, Nevada. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5365 Mae Anne Ave Ste A10
Reno, NV 89523-1841
Phone: (775) 432-1500
Fax: (775) 432-1002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1912543968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Jones — Clinic Director · (775) 217-0332
Other names Radiance Ketamine Clinic; Radiance Ketamine Clinic
NPI enumeratedNovember 25, 2019
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020
Mailing address5365 Mae Anne Ave Ste A10, Reno, NV 89523-1841

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