Active NPI
Psychological Assessment Specialists
- Mental Health Counselor
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SERVICE EXTENDER
- Legal business name
- PSYCHOLOGICAL ASSESSMENT SPECIALISTS
- Practice address
- 1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373 - Phone
- (208) 233-0150
- Fax
- (208) 233-0159
- NPI assigned
- May 22, 2015
- Last updated
- May 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John L Christensen, PHD
- Title
- Owner/Psychologist
- Phone
- (208) 233-0150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SERVICE EXTENDER | ID | Primary |
Addresses
Primary practice location
1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373
Mailing address
1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373
Phone (208) 233-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807126900 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Psychological Assessment Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Pocatello, ID
- NPI 1922129840
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.
-
- Clinical Psychologist
- Pocatello, ID
- NPI 1124175898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1023497013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 YELLOWSTONE AVE STE C5",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014373",
"telephone_number": "208-233-0150",
"fax_number": "208-233-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1246 YELLOWSTONE AVE STE C5",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014373",
"telephone_number": "208-233-0150",
"fax_number": "208-233-0159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL ASSESSMENT SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "208-233-0150",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "SERVICE EXTENDER",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807126900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.