Center for Behavioral Health Idaho, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC

Practice address

1965 S Eagle Rd
Suite 180
Meridian, ID 83642-9288

Phone

(208) 288-0649

Fax

(208) 288-0651

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Center for Behavioral Health Idaho, LLC

  • Methadone Clinic
  • Coeur d'Alene, ID
  • NPI 1760060933

  O20200218001366

  Same enrollment
• Center for Behavioral Health Idaho, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1760738645

  O20200218001366

  Same enrollment
• Center for Behavioral Health Idaho, LLC

  • Methadone Clinic
  • Meridian, ID
  • NPI 1811421548

  O20200218001366

  Same enrollment

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1629223128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD",
            "address_2": "SUITE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429288",
            "telephone_number": "208-288-0649",
            "fax_number": "208-288-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Cazier, LCSW
• Tyler Cazier
• CD Pharmacy LLC (Red Rock Pharmacy)
• Cedar Springs Family Dental, PLLC
• Juan Trinidad Ceja Solorio, DPM
• Center for Behavioral Health Idaho, LLC
• Center for Human Growth
• Chad a. Morse, M.D., Chartered
• Brionne Porter Chamberlain, LMFT
• Stephen Chamberlain, PHARMD

• Community/Behavioral Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.