Daniel Lance Traughber, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-202543 Issued in ID

Practice address

4737 Afton Place, Ste a
Chubbuck, ID 83202

Phone

(208) 417-0623

Fax

(208) 417-0641

NPI assigned

Oct 22, 2010

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T HelpGroup PAC ID 9739319807, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• T Help

  dba Sanctuary NTC

  • Community/Behavioral Health Agency
  • Chubbuck, ID
  • NPI 1649607250
  Medicare reassignment Care Compare group
• Shoshone Bannock Tribes, Inc

  dba Shoshone-Bannock Community Health Center

  • Clinic/Center
  • Fort Hall, ID
  • NPI 1225414519

  TX

  Medicare reassignment
• Shoshone-Bannock Community Health Center

  dba Shoshone-Bannock Tribes

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Fort Hall, ID
  • NPI 1225570716
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1386944411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2431",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83206",
            "telephone_number": "208-417-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 AFTON PLACE, STE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-417-0623",
            "fax_number": "208-417-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGHBER",
        "first_name": "DANIEL",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-202543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Thomas
• Victor Kiernan Thomas
• Joshua Thuernagle, PARAPROFESSIONAL
• Paulette Toledo
• Joanne Marie Trammel, OT
• Trauma and Grief Counseling, LLC
• Triton Wellness Solutions & Softwave Therapy
• Corinne Truesdell, PARAPROFESSIONAL
• Belinda Turley
• Leeann A Turpin, LCPC

• Psychologist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.