NPIMap

Organization Active NPI

Centerpoint Psychiatry and Family Practice

  • Family Medicine Physician
  • Rexburg, ID
National Provider Identifier
1558828236
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTERPOINT PSYCHIATRY AND FAMILY PRACTICE
Practice address
393 E 2ND N
Rexburg, ID 83440-1605
Phone
(208) 359-4840
Fax
(208) 359-9010
NPI assigned
Feb 28, 2019
Organization subpart
Yes
Parent organization
CENTERPOINT COUNSELING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Vonda Winfree
Title
Co Owner Administrator
Phone
(208) 359-4840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

393 E 2ND N
Rexburg, ID 83440-1605

Mailing address

393 E 2ND N
Rexburg, ID 83440-1605
Phone (208) 359-4840

National Provider Directory

National Provider Directory
Tax ID family
Centerpoint Psychiatry and Family Practice2 organizations share this tax ID, including this one
Part of
Centerpoint Psychiatry and Family Practice

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1558828236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-4840",
            "fax_number": "208-359-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-4840",
            "fax_number": "208-359-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINT PSYCHIATRY AND FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERPOINT COUNSELING SERVICES, LLC",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "WINFREE",
        "authorized_official_first_name": "VONDA",
        "authorized_official_title_or_position": "CO OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "208-359-4840"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.