Organization Active NPI

Psychiatric Resilience LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Post Falls, ID
National Provider Identifier
1437928421
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCHIATRIC RESILIENCE LLC
Practice address
784 S Clearwater Loop Ste R
Post Falls, ID 83854-9599
Phone
(208) 508-2201
NPI assigned
Jan 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Mr. Zachary Harman
Title
Ceo
Phone
(208) 508-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

784 S Clearwater Loop Ste R
Post Falls, ID 83854-9599

Mailing address

212 W Ironwood Dr. #D
P.O. Box 156
Coeur D'Alene, ID 83814-9599
Phone (208) 508-2201

Other practice location 1

122 N University Rd Bldg B
Spokane Valley, WA 99206-5359
Phone (509) 413-2198

Other practice location 2

12019 E Main Ave
Spokane Valley, WA 99206-5114
Phone (509) 413-2198

National Provider Directory

National Provider Directory

Locations

122 N University Rd
Bldg B
Spokane Valley, WA 99206
Phone (208) 508-2201

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1437928421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W IRONWOOD DR. #D",
            "address_2": "P.O. BOX 156",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838149599",
            "telephone_number": "208-508-2201",
            "fax_number": "409-217-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP STE R",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599",
            "telephone_number": "208-508-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 N University Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065359",
            "country_code": "US",
            "telephone_number": "509-413-2198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12019 E Main Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065114",
            "country_code": "US",
            "telephone_number": "509-413-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHIATRIC RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-508-2201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.