NPIMap

Organization Active NPI

Psychiatric Services Behavioral Health Clinic, Inc.

  • Medical Physician Assistant
  • Twin Falls, ID
National Provider Identifier
1023435526
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
PSYCHIATRIC SERVICES BEHAVIORAL HEALTH CLINIC, INC.
Practice address
493 Eastland Drive
Twin Falls, ID 83301
Phone
(208) 732-0995
Fax
(208) 732-0993
NPI assigned
Mar 21, 2014
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Mrs. Carmen D BabbNPI 1174816573
Title
Owner
Phone
(208) 732-0995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

493 Eastland Drive
Twin Falls, ID 83301

Mailing address

493 Eastland Drive
Twin Falls, ID 83301
Phone (208) 732-0995

Other names 1

  • PSBHC, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Psbhc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1023435526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 EASTLAND DRIVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "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 DRIVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "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": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-732-0995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSBHC, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.