Provider Demographics
NPI:1194158923
Name:KALIANIVALA, ANAHITA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANAHITA
Middle Name:
Last Name:KALIANIVALA
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 MAE ANNE AVE, SUITE 405
Mailing Address - Street 2:#1330
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1859
Mailing Address - Country:US
Mailing Address - Phone:775-235-2406
Mailing Address - Fax:
Practice Address - Street 1:5150 MAE ANNE AVE, SUITE 405
Practice Address - Street 2:#1330
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1859
Practice Address - Country:US
Practice Address - Phone:775-235-2406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4674103TC0700X
NVPY0991103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical