Individual provider Active NPI

Dorian W Asher, PSYD

  • Clinical Psychologist
  • Idaho Falls, ID
National Provider Identifier
1477899284
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-203361 Issued in ID
Practice address
101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627
Phone
(866) 437-7924
NPI assigned
Dec 26, 2012
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-203361 ID Primary

Addresses

Primary practice location

101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627

Mailing address

101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627
Phone (866) 437-7924

Other practice location 1

1311 N Dixie Hwy
Elizabethtown, KY 42701-2621
Phone (270) 769-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY-203361IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Starlight Psychological Services PLLC Past Accepting new patients

Organizations & group practices 1

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1477899284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PARK AVE STE 8",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023627",
            "telephone_number": "866-437-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PARK AVE STE 8",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023627",
            "telephone_number": "866-437-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012621",
            "country_code": "US",
            "telephone_number": "270-769-1304",
            "fax_number": "270-234-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHER",
        "first_name": "DORIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.