PSYCHOLOGICAL SOLUTIONS, LLC (NPI# 1912234642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912234642 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SOLUTIONS, LLC |
| Practice Address |
1104 W Ironwood Dr Coeur D Alene ID 83814-2605 |
| Mailing Address |
Po Box 3269 Hayden ID 83835-3269 |
| Practice Telephone | 2086672870 |
| Practice Fax Number | 2086672970 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | DR. JENNIFER STILES LICKEY (OWNER) |
| Authorized Official Telephone | 2086672870 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-428 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780744714 | Psychological Solutions, LLC | Psychologist | 1050 W Elm Ave, Ste 250, Hermiston, OR 97838-2700 | 2006-12-11 |
| 1760427363 | Psychological Solutions, LLC | Psychologist | 5035 Mayfield Rd, Suite 201, Lyndhurst, OH 44124-2688 | 2006-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PSYCHOLOGICAL SOLUTIONS, LLC | 3906 S Kelly Avenue, Portland, OR 97239 |
| Street Address |
1104 W IRONWOOD DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932247277 | White Pine Counseling | Counselor | 1104 W Ironwood Dr, Ste A, Coeur D Alene, ID 83814-2605 | 2007-02-01 |
| 1861817439 | Zachary Badger | Counselor | 1104 W Ironwood Dr, Coeur D Alene, ID 83814-2605 | 2014-02-19 |
| 1801043559 | Laura Sferra-watkins, Lcpc, LLC | Community/Behavioral Health | 1104 W Ironwood Dr, Coeur D Alene, ID 83814-2605 | 2008-08-25 |
| 1932364890 | Kathy M Crawford | Counselor | 1104 W Ironwood Dr, Coeur D Alene, ID 83814-2605 | 2008-07-21 |
| 1134117351 | Deborah Ann Kinmouth | Social Worker | 1104 W Ironwood Dr, Ste A, Coeur D Alene, ID 83814-2605 | 2005-10-11 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316236359 | Heather Rehil-crest | Psychologist | 1809 E Sherman Ave, Coeur D Alene, ID 83814-5873 | 2011-03-30 |
| 1407203540 | Margaret Marie Green | Psychologist | 7905 N Meadowlark Way Ste E, Coeur D Alene, ID 83815-5041 | 2016-05-18 |
| 1285836825 | Lynn Wierdsma | Psychologist | 1115 W Ironwood Dr, Coeur D Alene, ID 83814-4936 | 2007-06-05 |
| 1417162843 | Craig Richard Stempf | Psychologist | 1103 E Sherman Ave, Coeur D Alene, ID 83814-4154 | 2007-05-11 |
| 1114059607 | Jack Elmo Wright | Psychologist | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2007-03-10 |
| 1457427080 | Daniel S Hayes | Psychologist | 2190 W Ironwood Center Dr Ste 2, Coeur D Alene, ID 83814-2695 | 2006-11-27 |
| 1700895893 | Jeffery Thomas Meech | Psychologist | 296 W. Sunset Ave, Ste 15, Coeur D Alene, ID 83815-8366 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1346890175 | Robert D Rieske | Psychologist | 921 S 8th Ave Stop 8112, Pocatello, ID 83209-8112 | 2019-09-13 |
| 1366953788 | Timothy L Bowers | Psychologist | 999 S Clear Lake Pl, Eagle, ID 83616-6179 | 2017-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
| 1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1407276850 | Kyla Mcburney-rebol | Psychologist | 550 W. Sunnyside, Suite 1, Idaho Falls, ID 83402 | 2014-04-24 |
| 1659793867 | Kenneth Locke | Psychologist | 121 W Sweet Ave, University of Idaho - Child & Youth Study Center, Moscow, ID 83844-4061 | 2014-01-08 |
| Find all providers with the same taxonomy | ||||
| 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.