Amazing Assessments & Exceptional Evaluations

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AMAZING ASSESSMENTS & EXCEPTIONAL EVALUATIONS

Practice address

5732 W Durning Dr
Eagle, ID 83616-6238

Phone

(208) 599-4245

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By 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

Mr. Joshua John Wilding, CADCNPI 1841939089

Title

Owner/Operator

Phone

(208) 599-4245

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joshua Wilding, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Eagle, ID
  • NPI 1841939089
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1245951540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 W DURNING DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166238",
            "telephone_number": "208-599-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 W DURNING DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166238",
            "telephone_number": "208-599-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING ASSESSMENTS & EXCEPTIONAL EVALUATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "WILDING",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-599-4245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15684190",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Eagle, ID
• Providers in Eagle, ID by specialty
• Substance Abuse Rehabilitation Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.