| Idaho Behavioral Health Services, Llc | |
|
2860 Channing Way #100 Idaho Falls ID 83404 | |
| (208) 535-4566 | |
| Not Available |
| Full Name | Idaho Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2860 Channing Way, Idaho Falls, Idaho |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Behavioral Health Services, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Idaho Behavioral Health Services, Llc 2860 Channing Way #100 Idaho Falls ID 83404 Ph: (208) 535-4566 |
| NPI Number | 1831435163 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 7315184272 |
|---|---|
| Medicare Enrollment ID | O20130513000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831435163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mary B Ostrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972668531 PECOS PAC ID: 3476515917 Enrollment ID: I20041027001284 |
| Provider Name | Wendy F Swope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962522409 PECOS PAC ID: 5092800672 Enrollment ID: I20070927000204 |
| Provider Name | Nathan Eric Bradfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033542634 PECOS PAC ID: 5193950020 Enrollment ID: I20131031001600 |
| Provider Name | Kyle M Greer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639468465 PECOS PAC ID: 9830318419 Enrollment ID: I20200120000224 |
| Provider Name | Anna E Blonquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641968 PECOS PAC ID: 1254767429 Enrollment ID: I20200206001206 |
| Provider Name | Adam Burch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205213246 PECOS PAC ID: 1355637323 Enrollment ID: I20200707001694 |
| Provider Name | Daniel Wayne Lilligren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467972547 PECOS PAC ID: 8123399458 Enrollment ID: I20210630003465 |
| Provider Name | Joshua L Pixton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265105977 PECOS PAC ID: 9436557717 Enrollment ID: I20211018002830 |
| Provider Name | Jesse D Hinckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598151508 PECOS PAC ID: 7214227362 Enrollment ID: I20230921003128 |
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 |