DR. NICOLE L CARLBERG (NPI# 1730196056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730196056 |
| Entity Type | Individual |
| Full Name | DR. NICOLE L CARLBERG |
| Credential | DO |
| Practice Address |
2426 N Merritt Creek Loop Ste A Coeur D Alene ID 83814-4961 |
| Mailing Address |
Po Box 3727 Coeur D Alene ID 83816-2529 |
| Practice Telephone | 2086687000 |
| Practice Fax Number | 2086659879 |
| Mailing Telephone | 2086687000 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ID-O-0592 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1417 N 4th St, Coeur D Alene, ID 838143310 | 2082922188 | 2082922189 |
| 213 N Main St Unit B, Moscow, ID 838432700 | 2086687000 | 2086659879 |
| Street Address |
2426 N MERRITT CREEK LOOP STE A |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893945 | Resilience Psychiatric Medicine | Psychiatry & Neurology | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2014-05-09 |
| 1588972475 | Tracy Jo Newton | Social Worker | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2010-09-14 |
| 1437251261 | Yuni Unis | Nurse Practitioner | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356500649 | Eagle Crest Life Services Inc | Psychiatry & Neurology | 212 S 11th St Ste 3, Coeur D Alene, ID 83814-4000 | 2008-06-03 |
| 1467528984 | Bruce K Miewald | Psychiatry & Neurology | 2199 Ironwood Center Drive, Coeur D Alene, ID 83814 | 2006-11-27 |
| 1881788149 | George Jackson Ullrich | Psychiatry & Neurology | 1115 Ironwood Drive, Coeur D Alene, ID 83814 | 2006-10-03 |
| 1194713487 | Coralyn J Alexander | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2005-10-11 |
| 1891140620 | Neil Dilip Patel | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2016-04-29 |
| 1760893945 | Resilience Psychiatric Medicine | Psychiatry & Neurology | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2014-05-09 |
| 1144664848 | John Michael Thurston | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2013-04-24 |
| 1265750707 | Jennifer Rhodes | Psychiatry & Neurology | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2010-05-07 |
| 1124258645 | Jaya Praveen Kumar Penagaluri | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2009-07-17 |
| 1093940074 | Justin Paul Garrett | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-05-20 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.