Organization Active NPI

Cornerstone Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Hayden, ID
National Provider Identifier
1396439873
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORNERSTONE PSYCHOLOGICAL SERVICES, PLLC
Practice address
579 W Hayden Ave
Hayden, ID 83835-9726
Phone
(509) 289-2642
NPI assigned
Jun 7, 2023
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Courtney Edmonson, PSYDNPI 1366950933
Title
Owner/Psychologist
Phone
(509) 289-2642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

579 W Hayden Ave
Hayden, ID 83835-9726

Mailing address

579 W Hayden Ave
Hayden, ID 83835-9726
Phone (509) 289-2642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226000137 ID Part B Supplier - Clinic/Group Practice 0446731574 Receives reassigned benefits from 1 practitioner
Practice locations: Hayden, ID

National Provider Directory

National Provider Directory

Locations

761 N Thornton St
Ste E
Post Falls, ID 83854
Phone (208) 755-8222

515 W Francis Ave
Ste 7
Spokane, WA 99205
Phone (509) 768-6285

Practitioners & affiliated clinicians

Practitioners 7

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": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1396439873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359726",
            "telephone_number": "509-289-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359726",
            "telephone_number": "509-289-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "EDMONSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-289-2642",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.