Dr Michelyn Devine, PSYD is a
Psychologist - Clinical based in Shelley, Idaho. Dr Michelyn Devine is licensed to practice in California (license number PSY17294) and her current practice location is
12047 S 5th W, Shelley, Idaho. She can be reached at her office (for appointments etc.) via phone at
(661) 300-0488.
NPI number for Dr Michelyn Devine is 1841319225 and her current mailing address is 2184 Channing Way # 501, Idaho Falls, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841319225.
Healthcare Provider's Profile
| Full Name | Dr Michelyn Devine |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 12047 S 5th W, Shelley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841319225
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 02/09/2023
Medical Identifiers
Medical identifiers for Dr Michelyn Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841319225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY17294 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michelyn Devine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michelyn Devine, PSYD
2184 Channing Way # 501,
Idaho Falls, ID 83404-8034
Ph: (661) 300-0488 | Dr Michelyn Devine, PSYD
12047 S 5th W,
Shelley, ID 83274-5401
Ph: (661) 300-0488 |
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