UNIVERSITY OF IDAHO (NPI# 1649390998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649390998 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF IDAHO |
| Other Organization Name | CDHD BEHAVIORAL CONSULTANTS |
| Practice Address |
129 West Third St. Moscow ID 83843-0000 |
| Practice Telephone | 2088853771 |
| Practice Fax Number | 2088853628 |
| Mailing Telephone | 2088853771 |
| Mailing Fax Number | 2088853628 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | SUSAN HOUSE (MEDICAID BILLING) |
| Authorized Official Telephone | 2088853771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002821300 | 05 |
| Other Name | Type Code |
|---|---|
| CDHD Behavioral Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407976798 | University of Idaho | Durable Medical Equipment & Medical Supplies | 129 West Third St., Moscow, ID 83843-0000 | 2007-03-30 |
| 1548762867 | University of Idaho | General Practice | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-9803 | 2018-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF IDAHO | 875 Perimeter Drive Ms 3020, Moscow, ID 83844-9803 |
| Street Address |
129 WEST THIRD ST. |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407976798 | University of Idaho | Durable Medical Equipment & Medical Supplies | 129 West Third St., Moscow, ID 83843-0000 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1255667242 | Eihab Human Services Pennsylvania Inc | Community/Behavioral Health | Rr 6 Box 6543, Moscow, PA 18444-9665 | 2009-10-26 |
| 1235396805 | Alliance Family Services North, Inc. | Community/Behavioral Health | 212 Rodeo Dr, Suite 410, Moscow, ID 83843-9798 | 2008-05-20 |
| 1225581853 | Idaho Dept Health and Welfare | Community/Behavioral Health | 1350 Troy Rd, Moscow, ID 83843-3995 | 2016-08-01 |
| 1235566936 | Weeks and Vietri | Community/Behavioral Health | 818 S Washington St, Moscow, ID 83843-3049 | 2013-09-26 |
| 1629398201 | Alliance Family Services | Community/Behavioral Health | 212 Rodeo Dr, Ste 410, Moscow, ID 83843-9798 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
| 1811502313 | Mindful Moments LLC | Community/Behavioral Health | 15636 N Highway 41 Ste 700, Rathdrum, ID 83858-8710 | 2020-09-10 |
| 1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
| 1538779566 | Carolyn Elizabeth Barndt | Community/Behavioral Health | 1302 12th St, Lewiston, ID 83501-2932 | 2020-08-04 |
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1023634672 | Padron Counseling Services, LLC | Community/Behavioral Health | 522 Lomax St, Idaho Falls, ID 83401-2634 | 2020-06-19 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1487283917 | Emma Orthel Therapy, Pllc | Community/Behavioral Health | 210 N 3rd E, Mountain Home, ID 83647-2733 | 2020-04-06 |
| 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.