Caldwell Psychological Services P.A.

LBN: Caldwell Psychological Services P.A.
Caldwell Psychological Services P.A. is an health care organization with primary practice located at 815 Fillmore , Caldwell ID 83605-4173. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Caldwell Psychological Services P.A. can be contacted via phone (208) 459-6962, or through Book, Phares Lindeman via phone (208) 459-6962.

Contact Information

Primary practice address
815 Fillmore Caldwell ID 83605-4173
Phone: (208) 459-6962
Fax: (208) 459-4476
Website:
Map and Directions
Authorized official contact:
Name: Book, Phares Lindeman PSY.D.
Phone: (208) 459-6962

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 202193 Idaho

Profile Details

NPI number 1104083724
LBN Legal business name Caldwell Psychological Services P.A.
DBA Doing business as
Authorized official Book, Phares Lindeman PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Jan 24th, 2012 - about 12 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 1104083724 NPPES
Idaho MEDICAID 16848280

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