ACCESS BEHAVIORAL HEALTH SERVICES, INC (NPI# 1932506508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932506508 |
| Entity Type | Organization |
| Organization Name | ACCESS BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
1276 W River St Suite 100 Boise ID 83702-7066 |
| Practice Telephone | 2083384699 |
| Practice Fax Number | 2083224722 |
| Mailing Telephone | 2083384699 |
| Mailing Fax Number | 2083224722 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MRS. NICCOLIA L TANGEN (OWNER) |
| Authorized Official Telephone | 2083384699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1669894184 | Access Behavioral Health Services, Inc | Home Health | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-01-17 |
| 1235285339 | Access Behavioral Health Services, Inc | Case Management | 411 Allumbaugh St, Boise, ID 83704-9210 | 2007-01-25 |
| Street Address |
1276 W RIVER ST SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679641336 | Amy Lynn Roberts | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2006-12-01 |
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1043704414 | Tyler Daniel Lobb | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2018-06-19 |
| 1952752297 | Sara Buffington | Counselor | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2016-06-28 |
| 1245684927 | Jeremy Wayne Irvin | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2016-04-19 |
| 1720451230 | Melissa Gryder | Social Worker | 1276 W River St, Boise, ID 83702-7066 | 2015-11-05 |
| 1629458914 | Shell Wamble-fisher | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2015-06-02 |
| 1205220027 | Gwendolyn Gause | Counselor | 1276 W River St, Ste100, Boise, ID 83702-7066 | 2015-03-19 |
| 1235536558 | Sarah Ann Johnson | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-12-02 |
| 1609275825 | Ray Allen Ward | Counselor | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-08-14 |
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| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
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| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.