North Idaho Treatment Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 403 Issued in ID

Legal business name

NORTH IDAHO TREATMENT ASSOCIATES

Practice address

302 N 5TH St
Coeur D Alene, ID 83814-2814

Phone

(208) 664-3282

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas John Hearn, MSW

Title

Owner President

Phone

(208) 664-3282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonelle Sullivan Timlin, PH.D

  • Psychologist
  • Coeur D Alene, ID
  • NPI 1598813636
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144396649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 5TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142814",
            "telephone_number": "208-664-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 5TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142814",
            "telephone_number": "208-664-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "208-664-3282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Idaho Mobile OT
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• North Idaho Pain Center LLC
• North Idaho Psychiatry LLC
• North Idaho Ranch Recovery Clinic
• North Idaho Urology, PLLC
• North Idaho Weight Loss, LLC.
• North Idaho Wound Care PLLC
• North Lakes Family Center
• North Star Child Development Center

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.