Brandon J. Henscheid, PSY.D.
Individual provider Active NPI Prescribing (Medical) Psychologist · Montpelier, ID
NPI 1447516984 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1447516984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prescribing (Medical) Psychologist 103TP0016X
- License
- PSYPP-203743 (ID)
- Practice address
- 455 Washington St
Montpelier, ID 83254-1600 - Phone
- (208) 847-4464
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bear Lake County Memorial Hospital
Practice addresses (Care Compare)
455 Washington St
Suite 2
Montpelier, ID 83254-1600
Phone (208) 847-4464
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210603000916 | ID | Practitioner - Clinical Psychologist | 0840699302 |
Reassigns benefits to 1 organization Practice locations: Wayan, ID |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404
455 Washington St
Ste 2
Montpelier, ID 83254
Phone (208) 847-3000
Specialties & licenses
| 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 | Yes |
Addresses
Primary practice location
455 Washington St
Montpelier, ID 83254-1600
Mailing address
172 Johnny Miller Dr
Afton, WY 83110-8743
Other providers in Montpelier, ID
- Steven D Hammond
- Lance A Hansen
- Health West Inc.
- Health West, Inc.
- Health West, Inc.
- Casey Humpherys
- Ory Brad Hutchison
- Gregory William Hyde
- Flint Dean Jacobson
- Trevor Dean Jacobson
All providers in Montpelier, ID · Prescribing (Medical) Psychologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.