| Ascend Mental Health Center | |
|
2001 S Woodruff Ave Ste 9 Idaho Falls ID 83404-6371 | |
| (208) 419-3002 | |
| (208) 656-5652 |
| Full Name | Ascend Mental Health Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho |
| Authorized Official Name and Position | Matthew F Larsen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2084193002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Mental Health Center 2001 S Woodruff Ave Ste 9 Idaho Falls ID 83404-6371 Ph: (208) 419-3002 | Ascend Mental Health Center 2001 S Woodruff Ave Ste 9 Idaho Falls ID 83404-6371 Ph: (208) 419-3002 |
| NPI Number | 1811514870 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 5496179574 |
|---|---|
| Medicare Enrollment ID | O20200722001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811514870 | NPI | - | NPPES |
| 20007264 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Matthew F Larsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831413681 PECOS PAC ID: 0345554010 Enrollment ID: I20150810000555 |
| Provider Name | Tanner M Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346574464 PECOS PAC ID: 0941568547 Enrollment ID: I20180102001770 |
| Provider Name | Brandon D Borchman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790144657 PECOS PAC ID: 1153610001 Enrollment ID: I20180913002078 |
| Provider Name | Jennifer Christine Maire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765344 PECOS PAC ID: 4587083191 Enrollment ID: I20201001000761 |
| Provider Name | Cady Cathryn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699120394 PECOS PAC ID: 7810386869 Enrollment ID: I20211111002767 |
| Provider Name | Jamesen Birkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992327738 PECOS PAC ID: 1456764919 Enrollment ID: I20220329002164 |
Sullivan Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-1558 Fax: 208-529-4788 | |
Youth And Family Renewal Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2935 Rollandet St, Idaho Falls, ID 83402 Phone: 208-542-2905 Fax: 208-522-2427 | |
Independence, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402 Phone: 208-524-0881 Fax: 208-524-0886 | |
Life Quest Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 1st St, Idaho Falls, ID 83401 Phone: 208-529-2920 | |
Access Point Family Sevices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 Channing Way, Idaho Falls, ID 83404 Phone: 208-522-4026 Fax: 208-522-4138 | |
Integrated Family & Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3355 S Holmes Ave, Idaho Falls, ID 83404 Phone: 208-523-2080 Fax: 208-523-2799 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205 |