Organization Active NPI

Silver Creek Forensic and Clinical

  • Forensic Psychologist
  • Meridian, ID
National Provider Identifier
1376788182
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
Legal business name
SILVER CREEK FORENSIC AND CLINICAL
Practice address
2770 E Franklin Rd
Meridian, ID 83642-5953
Phone
(208) 855-0660
Fax
(208) 898-9433
NPI assigned
Dec 8, 2008
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Bill R Arnold, PHD, ABPPNPI 1447269055
Title
Owner
Phone
(208) 855-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X NU Primary

Addresses

Primary practice location

2770 E Franklin Rd
Meridian, ID 83642-5953

Mailing address

2770 E Franklin Rd
Meridian, ID 83642-5953
Phone (208) 855-0660

National Provider Directory

National Provider Directory

Locations

2770 E Franklin Rd
Meridian, ID 83642
Phone (208) 855-0660

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1376788182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 E FRANKLIN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425953",
            "telephone_number": "208-855-0660",
            "fax_number": "208-898-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E FRANKLIN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425953",
            "telephone_number": "208-855-0660",
            "fax_number": "208-898-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK FORENSIC AND CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-855-0660",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.