Active NPI
Brandon J. Henscheid, PSY.D.
- Prescribing (Medical) Psychologist
- Montpelier, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- PSYPP-203743
- Practice address
- 455 Washington St
Montpelier, ID 83254-1600 - Phone
- (208) 847-4464
- NPI assigned
- Apr 10, 2012
- Last updated
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Professional Counselor | 101YP2500X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | 203303 | ID | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| School Psychologist | 103TS0200X | |||
| Prescribing (Medical) Psychologist | 103TP0016X | PSYPP-203743 | ID | Primary |
Addresses
Primary practice location
455 Washington St
Montpelier, ID 83254-1600
Mailing address
172 Johnny Miller Dr
Afton, WY 83110-8743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
455 Washington St
Suite 2
Montpelier, ID 83254-1600
Phone (208) 847-4464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203303 | ID | MD | Clinical Psychologist |
| PSYPP-203743 | ID | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| BLMH Mental Health | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Past | Accepting new patients |
Locations
164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630
455 Washington St
Ste 2
Montpelier, ID 83254
Phone (208) 847-3000
822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404
Organizations & group practices 4
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.
-
dba Bear Lake Internal Medicine
- Internal Medicine Physician
- Montpelier, ID
- NPI 1174741441
-
dba Bear Lake Memorial Hospital Mental Health
- Mental Health Counselor
- Montpelier, ID
- NPI 1447452800
-
dba BLMH Bear Lake Clinic
- Multi-Specialty Clinic/Center
- Garden City, UT
- NPI 1538916333
-
dba Bear Lake Family Care and OB/GYN
- Rural Health Clinic/Center
- Montpelier, ID
- NPI 1699057166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1447516984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 JOHNNY MILLER DR",
"city": "AFTON",
"state": "WY",
"postal_code": "831108743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 WASHINGTON ST",
"city": "MONTPELIER",
"state": "ID",
"postal_code": "832541600",
"telephone_number": "208-847-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSCHEID",
"first_name": "BRANDON",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "203303",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "ID",
"license": "PSYPP-203743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montpelier, ID
- Steven D Hammond, DDS
- Lance A Hansen, MD
- Health West Inc. (Health West Montpelier Dental)
- Health West, Inc. (Health West Montpelier Pharmacy - Retail)
- Health West, Inc. (Health West Montpelier)
- Casey Humpherys
- Ory Brad Hutchison, PHARMD
- Gregory William Hyde, DPT
- Flint Dean Jacobson, NP
- Trevor Dean Jacobson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.