NPIMap

Organization Active NPI

Cherry Gulch

  • Psychiatric Residential Treatment Facility
  • Emmett, ID
National Provider Identifier
1417199456
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
24454 Issued in ID
Legal business name
CHERRY GULCH
Practice address
3770 E. Black Canyon Hwy
Emmett, ID 83617-0678
Phone
(208) 365-3437
Fax
(208) 365-7235
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Andrew Dean Sapp, PH.D.NPI 1497997431
Title
Founder & President
Phone
(208) 365-3437

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
Psychiatric Residential Treatment Facility 323P00000X 24454 ID Primary

Addresses

Primary practice location

3770 E. Black Canyon Hwy
Emmett, ID 83617-0678

Mailing address

PO Box 678
Emmett, ID 83617-0678
Phone (208) 365-3437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1417199456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836170678",
            "telephone_number": "208-365-3437",
            "fax_number": "208-365-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 E. BLACK CANYON HWY",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836170678",
            "telephone_number": "208-365-3437",
            "fax_number": "208-365-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY GULCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "FOUNDER & PRESIDENT",
        "authorized_official_telephone_number": "208-365-3437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ID",
            "license": "24454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.