STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (NPI# 1609267715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609267715 |
| Entity Type | Organization |
| Organization Name | STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE |
| Other Organization Name | SHS PSYCHIATRIC GROUP |
| Practice Address |
700 East Alice Blackfoot ID 83221 |
| Mailing Address |
P.o. Box 400 Blackfoot ID 83221 |
| Practice Telephone | 2087858462 |
| Mailing Telephone | 2087858462 |
| Mailing Fax Number | 2087858518 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MS. LYNN D SHIELDS (PATIENT ACCOUNT SPEC) |
| Authorized Official Telephone | 2087858462 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF IDAHO DEPARTMENT OF HEALTH AND WEL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SHS Psychiatric Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538225545 | State of Idaho Department of Health and Welfare | Clinic/Center | 700 E. Alice, Box 400, Blackfoot, ID 83221-0400 | 2006-12-28 |
| 1992789101 | State of Idaho Department of Health and Welfare | Psychiatric Hospital | 700 East Alice, Box 400, Blackfoot, ID 83221 | 2005-12-01 |
| 1518022342 | State of Idaho Department of Health and Welfare | Skilled Nursing Facility | 700 E Alice St, Box 400, Blackfoot, ID 83221-4925 | 2006-12-22 |
| Street Address |
700 EAST ALICE |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789101 | State of Idaho Department of Health and Welfare | Psychiatric Hospital | 700 East Alice, Box 400, Blackfoot, ID 83221 | 2005-12-01 |
| 1013132471 | Daniel Bart Harrison | Pharmacist | 700 East Alice, Blackfoot, ID 83221 | 2007-04-13 |
| 1790837292 | Chris C Lemon | Pharmacist | 700 East Alice, State Hospital South, Blackfoot, ID 83221-0400 | 2007-01-17 |
| 1790841781 | State of Idaho | Clinical Medical Laboratory | 700 East Alice, Blackfoot, ID 83221 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053615260 | State of Idaho | Psychologist | 700 E Alice St, Blackfoot, ID 83221-4925 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815164 | Amanda Catherine Kearns | Psychologist | 1612 Kearney St, Idaho Falls, ID 83401-3055 | 2020-06-11 |
| 1457813719 | Natasha Megan Quinn | Psychologist | 500 W Fort St Bldg 114, Boise, ID 83702-4501 | 2019-04-04 |
| 1164996468 | Stephanie Elizabeth Stacy | Psychologist | 500 W Fort St Bldg 23, Boise, ID 83702-4501 | 2019-01-20 |
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1427534395 | Hanna S Thomas | Psychologist | 1200 N Liberty St, Boise, ID 83704-8742 | 2018-07-13 |
| 1699120394 | Cady Williams | Psychologist | 3344 N 375 E, Rexburg, ID 83440-3437 | 2016-04-30 |
| 1477927846 | Grey Psychology Associates, Pllc | Psychologist | 1821 E Sherman Ave, Coeur D Alene, ID 83814-5352 | 2015-11-21 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1912332446 | Quality Care Counseling Center Inc. | Psychologist | 2316 N. Cole Rd, Suite A, Boise, ID 83704 | 2013-09-03 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE.
| 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.