Organization Active NPI

Tmhcare, PC

  • Psychiatry Physician
  • Coeur D Alene, ID
National Provider Identifier
1619344637
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101258812 Issued in VA
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214002475 ID Part B Supplier - Clinic/Group Practice 2062802630 Receives reassigned benefits from 1 practitioner
Practice locations: Coeur D Alene, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.