Organization Active NPI

Centerpointe, Inc.

  • Community/Behavioral Health Agency
  • Nampa, ID
National Provider Identifier
1386777126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTERPOINTE, INC.
Practice address
915 Parkcentre Way Ste 7
Nampa, ID 83651-1748
Phone
(208) 442-7791
Fax
(208) 939-3179
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christine Rene Kildow, PH.D.
Title
Psychologist, Clinic Director
Phone
(208) 442-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

915 Parkcentre Way Ste 7
Nampa, ID 83651-1748

Mailing address

1436 N Selvaggio Way
Eagle, ID 83616-4164
Phone (208) 442-7791

National Provider Directory

National Provider Directory
Tax ID family
Centerpointe Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

915 Parkcentre Way
Nampa, ID 83651
Phone (208) 442-7791

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386777126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 N SELVAGGIO WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164164",
            "telephone_number": "208-442-7791",
            "fax_number": "208-939-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PARKCENTRE WAY STE 7",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511748",
            "telephone_number": "208-442-7791",
            "fax_number": "208-939-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILDOW",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, CLINIC DIRECTOR",
        "authorized_official_telephone_number": "208-442-7791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.