Innercept

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

INNERCEPT

Practice address

1115 Ironwood Drive
Suite a
Coeur D Alene, ID 83814-4936

Phone

(208) 665-7178

Fax

(208) 765-6972

NPI assigned

Mar 10, 2008

Organization subpart

Yes

Parent organization

ALTIORHEALTHCAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jonathan Mark Monroe, MD

Title

Cfo

Phone

(951) 334-2233

Specialties & licenses 1

Addresses

Part of

Paradigm San Francisco Seaview House

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Michelle McIntyre, LICSW

  • Clinical Social Worker
  • Anacortes, WA
  • NPI 1952823148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1003086653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-457-6302",
            "fax_number": "310-457-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 IRONWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144936",
            "telephone_number": "208-665-7178",
            "fax_number": "208-765-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTIORHEALTHCARE",
        "enumeration_date": "2008-03-10",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-334-2233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Mental Illness Community Based Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.