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Psychiatric Services Behavioral Health Clinic Inc

Organization Active NPI Community/Behavioral Health Agency · Twin Falls, ID

NPI 1013204957 · NPPES record last updated Jun 29, 2011

Key facts

NPI
1013204957
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC INC
Practice address
493 Eastland Dr
Twin Falls, ID 83301-7480
Phone
(208) 732-0995
Fax
(208) 732-0993
NPI assigned
Jun 29, 2011
Organization subpart
No

Authorized official

Name
Carmen Babb, MA, CADC
Title
Owner
Phone
(208) 732-0995

Practitioners 10

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

493 Eastland Dr
Twin Falls, ID 83301-7480

Mailing address

PO Box 47
Twin Falls, ID 83303-0047
Phone (208) 732-0995

Other names

  • PSBHC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2011.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1013204957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030047",
            "telephone_number": "208-732-0995",
            "fax_number": "208-732-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017480",
            "telephone_number": "208-732-0995",
            "fax_number": "208-732-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-732-0995",
        "authorized_official_credential": "MA, CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Community/Behavioral Health Agency in Idaho

Sources for this page

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