Individual provider Active NPI

Philip Brownell, PSYCHOLOGY

  • Psychologist
  • Twin Falls, ID
National Provider Identifier
1316306509
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-202938 Issued in ID
Practice address
826 Eastland Dr
Twin Falls, ID 83301-6858
Phone
(208) 734-3312
Fax
(208) 734-5036
NPI assigned
Feb 16, 2016
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-202938 ID Primary

Addresses

Primary practice location

826 Eastland Dr
Twin Falls, ID 83301-6858

Mailing address

826 Eastland
Family Health Services
Twin Falls, ID 83301-6856
Phone (208) 734-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001757 ID Practitioner - Clinical Psychologist 4789989062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Psychologist Current Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Psychologist Current Accepting new patients
Family Health Services Corporation Psychologist Current Accepting new patients
Family Health Services Corporation CurrentSince Dec 17, 2024 Accepting new patients
Family Health Services Corporation Psychologist Past Accepting new patients
Family Health Services Corporation Psychologist Past Accepting new patients
Family Health Services Corporation Past Accepting new patients

Locations

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

2647 Kimberly Rd
Ste 2
Twin Falls, ID 83301
Phone (280) 734-1281

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

826 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-4061

Interoperability endpoints

  • Direct secure messaging: philip.brownell.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1316306509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 EASTLAND",
            "address_2": "FAMILY HEALTH SERVICES",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-734-3312",
            "fax_number": "208-734-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016858",
            "telephone_number": "208-734-3312",
            "fax_number": "208-734-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNELL",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-202938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.