Psychosocial Rehabilitation Specialists

LBN: John L Christensen Phd Pc
Psychosocial Rehabilitation Specialists is an health care organization with primary practice located at 500 S 11Th Ave Suite 302, Pocatello ID 83201. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Agencies / Community/Behavioral Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is the primary health care specialty. John L Christensen Phd Pc can be contacted via phone (208) 233-0150, or through Christensen, Nichole via phone (208) 234-1707.

Contact Information

Primary practice address
500 S 11Th Ave Suite 302 Pocatello ID 83201
Phone: (208) 233-0150
Fax: (208) 233-0159
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Nichole
Phone: (208) 234-1707

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X PSY202148 Idaho
Agencies / Community/Behavioral Health 251S00000X PSY202148 Idaho

Profile Details

NPI number 1245353440
LBN Legal business name John L Christensen Phd Pc
DBA Doing business as Psychosocial Rehabilitation Specialists
Authorized official Christensen, Nichole
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2007
Last updated May 27th, 2009 - about 15 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 1245353440 NPPES
Idaho MEDICAID 807691400

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