COMMUNITY MENTAL HEALTH SERVICES (NPI# 1609206309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609206309 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
720 E Lander St Pocatello ID 83201-6228 |
| Practice Telephone | 2084782172 |
| Mailing Telephone | 2084782172 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | AMBER DAVIS (OFFICE MANAGER) |
| Authorized Official Telephone | 2084782172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821399056 | Community Mental Health Services | Case Management | 720 E Lander St, Pocatello, ID 83201-6228 | 2010-11-04 |
| 1336190842 | Community Mental Health Services | Clinic/Center | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2006-05-12 |
| 1417216961 | Community Mental Health Services | Clinic/Center | 720 E Lander St, Pocatello, ID 83201-6228 | 2012-05-03 |
| 1780968743 | Community Mental Health Services | Clinic/Center | 501 S Burma Ave, Gillette, WY 82716-3426 | 2011-10-07 |
| 1831326503 | Community Mental Health Services | Clinic/Center | 427 N Arthur Ave, Pocatello, ID 83204-3006 | 2009-06-19 |
| 1730342346 | Community Mental Health Services | Community/Behavioral Health | 501 S Burma Ave, Gillette, WY 82716-3426 | 2008-07-03 |
| 1881730141 | Community Mental Health Services | Community/Behavioral Health | 501 S Burma Ave, 5th Floor, Gillette, WY 82716-3426 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MENTAL HEALTH SERVICES OF LIVINGSTON COUNTY | 2280 E Grand River Ave, Howell, MI 48843-8503 |
| Street Address |
720 E LANDER ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821399056 | Community Mental Health Services | Case Management | 720 E Lander St, Pocatello, ID 83201-6228 | 2010-11-04 |
| 1376975102 | Mary Louise Morrison | Counselor | 720 E Lander St, Suite A, Pocatello, ID 83201-6228 | 2013-08-03 |
| 1417216961 | Community Mental Health Services | Clinic/Center | 720 E Lander St, Pocatello, ID 83201-6228 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431572 | Bright Futures Children Services | Clinic/Center | 3910 S Yellowstone Hwy, Idaho Falls, ID 83402-4342 | 2019-11-16 |
| 1295388080 | Shannon Mooney | Clinic/Center | 376 5th St, Idaho Falls, ID 83401-4762 | 2019-07-20 |
| 1396907861 | All Developmental Disability Services | Clinic/Center | 1350 S Vista Ave, Boise, ID 83705-2567 | 2008-06-26 |
| 1154589802 | Excellence In Everyone, LLC | Clinic/Center | 101 N Bridge St, Saint Anthony, ID 83445-5005 | 2008-05-29 |
| 1689885238 | Aspen Center Rehabilitation and Counseling LLC | Clinic/Center | 140 N. 1st E., Driggs, ID 83442 | 2007-05-25 |
| 1548471196 | Innovative Health Care Concepts, Inc | Clinic/Center | 267 Gladstone St, Idaho Falls, ID 83401-2511 | 2007-05-25 |
| 1598975658 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-23 |
| 1972724623 | Community Partnerships of Idaho, Inc. | Clinic/Center | 9 Wall St, Nampa, ID 83651-3932 | 2007-05-01 |
| 1518188234 | Community Partnerships of Idaho, Inc. | Clinic/Center | 1201 Falls Ave E Ste 34, Twin Falls, ID 83301-3464 | 2007-05-01 |
| 1558986075 | Lotus Early Learning | Clinic/Center | 110 S Jackson St, Moscow, ID 83843-2038 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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| 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.