Individual provider Active NPI

Brandon J. Henscheid, PSY.D.

  • Prescribing (Medical) Psychologist
  • Montpelier, ID
National Provider Identifier
1447516984
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
PSYPP-203743 Issued in ID
Practice address
455 Washington St
Montpelier, ID 83254-1600
Phone
(208) 847-4464
NPI assigned
Apr 10, 2012
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603000916 ID Practitioner - Clinical Psychologist 0840699302 Reassigns benefits to 1 organization
Practice locations: Wayan, ID

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

LicenseStateTypeSpecialty
203303IDMDClinical Psychologist
PSYPP-203743IDMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Current Accepting new patients
BLMH Mental Health CurrentSince Jun 12, 2023 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Jun 12, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.