Brannon & Brannon Psychological Services Pa

LBN: Brannon & Brannon Psychological Services Pa
Brannon & Brannon Psychological Services Pa is an health care organization with primary practice located at 534 Trejo Street Suite 100, Rexburg ID 83440. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Brannon & Brannon Psychological Services Pa can be contacted via phone (208) 356-3776, or through Brannon, James M via phone (208) 356-3776.

Contact Information

Primary practice address
534 Trejo Street Suite 100 Rexburg ID 83440
Phone: (208) 356-3776
Fax: (208) 356-9498
Website:
Map and Directions
Authorized official contact:
Name: Brannon, James M ED.D.
Phone: (208) 356-3776

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1023141116
LBN Legal business name Brannon & Brannon Psychological Services Pa
DBA Doing business as
Authorized official Brannon, James M ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Oct 29th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023141116 NPPES
Idaho MEDICAID 002803600

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