Psychological Assessment Specialists

LBN: Psychological Assessment Specialists
Psychological Assessment Specialists is an health care organization with primary practice located at 1246 Yellowstone Ave Ste C5 , Pocatello ID 83201-4373. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Psychological Assessment Specialists can be contacted via phone (208) 233-0150, or through Christensen, John L via phone (208) 233-0150.

Contact Information

Primary practice address
1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373
Phone: (208) 233-0150
Fax: (208) 233-0159
Website:
Map and Directions
Authorized official contact:
Name: Christensen, John L PHD
Phone: (208) 233-0150

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SERVICE EXTENDER Idaho

Profile Details

NPI number 1023497013
LBN Legal business name Psychological Assessment Specialists
DBA Doing business as
Authorized official Christensen, John L PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 10 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 1023497013 NPPES
Idaho MEDICAID 807126900

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