Active NPI
Tmhcare, PC
- Psychiatry Physician
- Coeur D Alene, ID
National Provider Identifier
1619344637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101258812
- Legal business name
- TMHCARE, PC
- Practice address
- 250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973 - Phone
- (208) 215-1568
- NPI assigned
- Aug 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maxine McElree
- Title
- Cfo
- Phone
- (208) 446-5127
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101258812 | VA | Primary |
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973
Mailing address
250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973
Phone (208) 215-1568
Other names 1
- North Idaho Ketamine & TMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1144664848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1619344637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NORTHWEST BLVD STE 200",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142973",
"telephone_number": "208-215-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NORTHWEST BLVD STE 200",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142973",
"telephone_number": "208-215-1568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMHCARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "MCELREE",
"authorized_official_first_name": "MAXINE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "208-446-5127"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101258812",
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Idaho Ketamine & TMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.