PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC INC (NPI# 1013204957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204957 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC INC |
| Other Organization Name | PSBHC |
| Practice Address |
493 Eastland Dr Twin Falls ID 83301-7480 |
| Mailing Address |
Po Box 47 Twin Falls ID 83303-0047 |
| Practice Telephone | 2087320995 |
| Practice Fax Number | 2087320993 |
| Mailing Telephone | 2087320995 |
| Mailing Fax Number | 2087320993 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Authorized Official Name | CARMEN BABB (OWNER) |
| Authorized Official Telephone | 2087320995 |
| Authorized Official Credential | MA, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| PSBHC | Doing Business As Name - Organization |
| Street Address |
493 EASTLAND DR |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-7480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296702 | Mason Robison | Specialist | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2005-09-26 |
| 1710547245 | The Bridge Counseling, LLC | Social Worker | 493 Eastland Dr, Twin Falls, ID 83301-7441 | 2019-06-17 |
| 1811349129 | Shannon R Kerrick | Social Worker | 493 Eastland Dr, Twin Falls, ID 83301-7441 | 2016-07-11 |
| 1407272602 | Susan Barker | Counselor | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2014-03-12 |
| 1962749267 | Psychiatric Services Bhc, Inc | Counselor | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2013-01-08 |
| 1487906814 | Christina S Scanlan | Physician Assistant | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2012-10-09 |
| 1316228976 | Justine Sweet | Social Worker | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2011-09-08 |
| 1174816573 | Carmen D Babb | Counselor | 493 Eastland Dr, Twin Falls, ID 83301 | 2011-05-18 |
| 1609102490 | Sandra M Hunt | Counselor | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2009-10-29 |
| 1912186727 | Emily Marie Voorhees | Social Worker | 493 Eastland Dr, Twin Falls, ID 83301-7441 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629631817 | Life Balance Counseling LLC | Community/Behavioral Health | 140 Hansen St E Ste 7, Twin Falls, ID 83301-6238 | 2019-04-15 |
| 1518492354 | Justine Sweet, Lcsw, LLC | Community/Behavioral Health | 510 Magnolia Ave, Twin Falls, ID 83301-6210 | 2017-05-01 |
| 1215399464 | Nelson Counseling, LLC | Community/Behavioral Health | 236 Bellevue Ct, Twin Falls, ID 83301-5600 | 2016-03-27 |
| 1255790069 | Jolliff Counseling & Behavioral Health | Community/Behavioral Health | 837 Pole Line Rd, Ste 1050, Twin Falls, ID 83301-3095 | 2016-02-22 |
| 1114341815 | Apex Counseling, LLC | Community/Behavioral Health | 2487 Kimberly Rd Unit B, Twin Falls, ID 83301-7902 | 2014-02-15 |
| 1457696692 | Aaa Counseling/therapy & Services | Community/Behavioral Health | 2989 E 3600 N, Twin Falls, ID 83301-8722 | 2012-11-28 |
| 1811153844 | Edwise LLC | Community/Behavioral Health | 132 Falls Ave W, #103, Twin Falls, ID 83301-3359 | 2008-07-30 |
| 1104049071 | 1 Step Closer LLC | Community/Behavioral Health | 496 Shoup Ave W Ste G, Twin Falls, ID 83301-5043 | 2007-04-10 |
| 1609997147 | Healthy Progression of Twin Falls | Community/Behavioral Health | 451 Eastland Dr, Ste. #7, Twin Falls, ID 83301-7454 | 2007-04-03 |
| 1275673840 | Absolute Family Solutions | Community/Behavioral Health | 2022a 4th Ave E, Twin Falls, ID 83301-7404 | 2007-02-06 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.