Northwest Behavioral Life Skills

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHWEST BEHAVIORAL LIFE SKILLS

Practice address

1620 NW Blvd. Suite 201-C
Coeur D'Alene, ID 83814-2488

Phone

(208) 765-4509

Fax

(208) 765-2558

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Craig Richard Stempf, PH.D.

Title

Manager

Phone

(208) 765-4509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407061831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NW BLVD. SUITE 201-C",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-765-4509",
            "fax_number": "208-765-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NW BLVD. SUITE 201-C",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-765-4509",
            "fax_number": "208-765-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL LIFE SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEMPF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-765-4509",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent E Mosby, DDS
• Noa Murphy, LPC
• Lindsay Nelson, LPC
• Brian Lee Norce, DC
• North Idaho Gastroenterology PLLC
• Northwest Integrated Health, LLP
• Stephanie J Olscamp, CNM
• Matthew Parker, MD
• Brett A Penney, M.D.
• PNW Family Services

• Community/Behavioral Health Agency in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Community/Behavioral Health Agency in Idaho

• 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.