NPIMap

Organization Active NPI

University of Idaho

Doing business as CDHD Behavioral Consultants

  • Community/Behavioral Health Agency
  • Moscow, ID
National Provider Identifier
1649390998
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNIVERSITY OF IDAHO
Doing business as
CDHD Behavioral Consultants
Practice address
129 West Third St.
Moscow, ID 83843-0000
Phone
(208) 885-3771
Fax
(208) 885-3628
NPI assigned
Mar 30, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Susan House
Title
Medicaid Billing
Phone
(208) 885-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

129 West Third St.
Moscow, ID 83843-0000

Mailing address

129 West Third St.
Moscow, ID 83843-0000
Phone (208) 885-3771

Other identifiers 1

IdentifierTypeStateIssuer
002821300MedicaidID

Other names 1

  • CDHD Behavioral Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDHD Behavioral Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1649390998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WEST THIRD ST.",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430000",
            "telephone_number": "208-885-3771",
            "fax_number": "208-885-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WEST THIRD ST.",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430000",
            "telephone_number": "208-885-3771",
            "fax_number": "208-885-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAID BILLING",
        "authorized_official_telephone_number": "208-885-3771"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002821300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDHD Behavioral Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.