NPIMap

Organization Active NPI

Human Dynamics and Diagnostics, LLC

  • Developmental Disabilities Clinic/Center
  • Salmon, ID
National Provider Identifier
1326345976
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
HUMAN DYNAMICS AND DIAGNOSTICS, LLC
Practice address
111 Lillian St Ste 204
Salmon, ID 83467-4301
Phone
(208) 756-2344
Fax
(208) 756-2354
NPI assigned
Feb 17, 2011
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mellissa Ockerman
Title
Office Manager
Phone
(208) 522-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

111 Lillian St Ste 204
Salmon, ID 83467-4301

Mailing address

2267 Teton PLZ
Idaho Falls, ID 83404-6486
Phone (208) 524-4953

National Provider Directory

National Provider Directory
Tax ID family
Human Dynamics and Diagnostics21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

111 Lillian St
Ste 204
Salmon, ID 83467
Phone (208) 756-2344

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1326345976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 TETON PLZ",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046486",
            "telephone_number": "208-524-4953",
            "fax_number": "208-524-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LILLIAN ST STE 204",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674301",
            "telephone_number": "208-756-2344",
            "fax_number": "208-756-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DYNAMICS AND DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "OCKERMAN",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-522-0140"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.