Midvalley Healthcare PLLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIDVALLEY HEALTHCARE PLLC

Practice address

2321 E Gala St Ste 3
Meridian, ID 83642-7692

Phone

(208) 323-9130

Fax

(208) 323-9070

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Kristina Harrington, MD

Title

Co-Owner

Phone

(208) 888-5848

Specialties & licenses 1

Addresses

Other names 1

• MidValley Healthcare Doing business as

Tax ID family

Midvalley Healthcare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Midvalley Healthcare PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Meridian, ID
  • NPI 1336553692
  NPD tax ID

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1376850990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST STE 3",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427692",
            "telephone_number": "208-888-5848",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST STE 3",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427692",
            "telephone_number": "208-323-9130",
            "fax_number": "208-323-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDVALLEY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-888-5848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidValley Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Michaelis, PHARMD
• Casey Michel, DPT
• Tracy D. Mickelsen, CSFA
• Midvalley Healthcare PLLC
• Midvalley Healthcare PLLC
• Katie Malissa Miedema, MPH, RD
• William Stephen Mihin, D.C.
• Monika Mikkelsen
• Kurt Mildenstein, M.D.
• Kristina Miles, DO

• Group Psychotherapy Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Group Psychotherapy Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.