ACCESS BEHAVIORAL HEALTH SERVICES, INC (NPI# 1962018564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962018564 |
| Entity Type | Organization |
| Organization Name | ACCESS BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
1276 W River St Boise ID 83702-7066 |
| Practice Telephone | 2083384699 |
| Practice Fax Number | 2083224722 |
| Mailing Telephone | 2083384699 |
| Mailing Fax Number | 2083224722 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | NICCOLIA L TANGEN (OWNER) |
| Authorized Official Telephone | 2083384699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932506508 | Access Behavioral Health Services, Inc | Clinic/Center | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-11-26 |
| 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 |
| 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 |
| 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 |
| 1932506508 | Access Behavioral Health Services, Inc | Clinic/Center | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-11-26 |
| 1609275825 | Ray Allen Ward | Counselor | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417163650 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| 1215143458 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688233 | Novitas Academy | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2625 N Plaza Rd, Emmett, ID 83617-9128 | 2017-02-13 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1548594328 | Home Again Icf | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2311 E Aruba Ave, Nampa, ID 83686-1292 | 2009-09-25 |
| 1346791944 | Renewed Horizons, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8252 N Wayne Dr, Hayden, ID 83835-5029 | 2016-10-18 |
| 1811292915 | Pearl Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2011-01-20 |
| 1356577019 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1548496201 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1518081223 | Independence, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402-1720 | 2007-03-19 |
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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.