Treasure Valley Behavioral Health, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

TREASURE VALLEY BEHAVIORAL HEALTH, LLC

Practice address

131 N Whitley Dr
Fruitland, ID 83619-2430

Phone

(208) 452-7705

Fax

(208) 452-7750

NPI assigned

Dec 15, 2010

Last updated

Jul 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradi C Fritts, LMSWNPI 1043517105

Title

Owner

Phone

(208) 452-7705

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Treasure Valley Behavioral Health LLC2 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.

• Treasure Valley Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Fruitland, ID
  • NPI 1790806065
  NPD tax ID

Practitioners 2

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.

• Bradi Fritts, LCSW

  • Clinical Social Worker
  • Fruitland, ID
  • NPI 1043517105
  NPD (past) Authorized official
• Andrew Echanis, LMSW

  • Social Worker
  • Fruitland, ID
  • NPI 1598062663
  NPD (past)

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1093018939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836191022",
            "fax_number": "208-452-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N WHITLEY DR",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192430",
            "telephone_number": "208-452-7705",
            "fax_number": "208-452-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "BRADI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-452-7705",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807398400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Adams Timmons, DDS
• J. Alan Timmons, D.D.S.
• Olivia Toll
• Total Renal Care, Inc. (Fruitland Dialysis)
• Total Wellness Chiropractic and Holistic Care LLC
• Treasure Valley Behavioral Health, LLC
• Treasure Valley Classical Academy
• Tri-City Physical Therapy, P.C. (Tir-City Physical Therapy)
• Lana M Usilton, C.N.
• Melissa Waite, FNP-C

• Rehabilitation Clinic/Center in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Rehabilitation Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.