Integrated Beahvioral Healthcare, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATED BEAHVIORAL HEALTHCARE, LLC

Practice address

1621 N 3Rd St Ste 1100
Coeur D Alene, ID 83814-3381

Phone

(208) 765-4509

NPI assigned

Feb 10, 2010

Last updated

Feb 10, 2010By 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

Dr. Craig Stempf, PHD

Title

Psychologist ,Owner

Phone

(208) 765-4509

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Melissa Mary Owens, LMSW

  • Social Worker
  • Coeur d'Alene, ID
  • NPI 1386079283
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1356673792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N 3RD ST STE 1100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143381",
            "telephone_number": "208-765-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N 3RD ST STE 1100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143381",
            "telephone_number": "208-765-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEAHVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "STEMPF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PSYCHOLOGIST ,OWNER",
        "authorized_official_telephone_number": "208-765-4509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003530500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.