Organization Active NPI

Total Spectrum Mental Health Services

  • Clinical Child & Adolescent Psychologist
  • Pocatello, ID
National Provider Identifier
1306726674
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
TOTAL SPECTRUM MENTAL HEALTH SERVICES
Practice address
809 N Arthur Ave
Pocatello, ID 83204-2803
Phone
(208) 760-2663
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Jennifer Gallup, PH.D.NPI 1609648807
Title
Clinical Psychologist
Phone
(208) 406-2492

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)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

809 N Arthur Ave
Pocatello, ID 83204-2803

Mailing address

809 N Arthur Ave
Pocatello, ID 83204-2803
Phone (208) 760-2663

National Provider Directory

National Provider Directory

Locations

809 N Arthur Ave
Pocatello, ID 83204
Phone (208) 233-4634

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": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1306726674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042803",
            "telephone_number": "208-760-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042803",
            "telephone_number": "208-760-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPECTRUM MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-406-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 5, 2025; 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.