Children's Center

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHILDREN'S CENTER

Practice address

1820 E 17TH St Ste 330
Idaho Falls, ID 83404-6400

Phone

(208) 534-8303

Fax

(208) 277-2202

NPI assigned

May 4, 2023

Last updated

May 4, 2023By 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. Matthew Francis Smith

Title

Administrator

Phone

(208) 534-8303

Specialties & licenses 1

Addresses

Other names 1

• Aspen Developmental Services Other name

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1366131302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E 17TH ST # 261",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-534-8303",
            "fax_number": "208-277-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-534-8303",
            "fax_number": "208-277-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-534-8303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Developmental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Wycliffe Cheatham III, MD
• Melissa P Cheers, MD
• Ashley Arcy Rachael Chermak, PMHNP
• David Newell Chiddix, LCSW
• Rebecca Chidester, LCPC
• Children's Developmental Services, Inc. (Children's Developmental Services)
• Childrens Supportive Services Incorporaated
• Childrens Supportive Services Incorporated
• Childrens Supportive Services Incorporated
• Childrens Supportive Services Incorporated

• Adolescent and Children Mental Health Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Adolescent and Children Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.