| Psychological Assessment Specialists, Pllc | |
|
500 S 11th Ave Suite 302 Pocatello ID 83201-4835 | |
| (208) 233-0150 | |
| Not Available |
| Full Name | Psychological Assessment Specialists, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 500 S 11th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Theresa Ross (PRESIDENT) |
| Authorized Official Contact | 2082361600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment Specialists, Pllc Po Box 4986 Pocatello ID 83205-4986 Ph: (208) 236-1600 | Psychological Assessment Specialists, Pllc 500 S 11th Ave Suite 302 Pocatello ID 83201-4835 Ph: (208) 233-0150 |
| NPI Number | 1922129840 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608815303 |
|---|---|
| Medicare Enrollment ID | O20050502001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922129840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Idaho) | Primary |
| 103TC0700X | Psychologist - Clinical | (Idaho) | Primary |
| Provider Name | John L Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124175898 PECOS PAC ID: 9234178930 Enrollment ID: I20050505001043 |
| Provider Name | Cynthia L Amen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457408122 PECOS PAC ID: 4183634645 Enrollment ID: I20060427000415 |
| Provider Name | Kendra J Westerhaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366750929 PECOS PAC ID: 2668609272 Enrollment ID: I20131205000806 |
| Provider Name | Charles W Jenks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295145985 PECOS PAC ID: 3173873346 Enrollment ID: I20180910000975 |
Allies Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Lander St, Pocatello, ID 83201 Phone: 208-234-2094 Fax: 208-234-2637 | |
Lighthouse For Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave, Suite D, Pocatello, ID 83201 Phone: 208-232-2908 Fax: 208-232-5423 | |
Apex Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave, Suite C-3, Pocatello, ID 83201 Phone: 208-904-0225 Fax: 866-704-4580 | |
Behavioral Reform Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave Ste D, Pocatello, ID 83201 Phone: 208-238-9400 Fax: 208-238-9401 | |
Psychological Assessment Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Broncho Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 E Ross Fork Road #41, Pocatello, ID 83202 Phone: 208-220-7520 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Washington Ave, Pocatello, ID 83201 Phone: 208-478-9822 Fax: 208-478-6790 |