Organization Active NPI

Allied Mental Health Services, P.L.L.C.

  • Case Management Agency
  • Star, ID
National Provider Identifier
1659566727
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALLIED MENTAL HEALTH SERVICES, P.L.L.C.
Practice address
11104 W. State St.
Star, ID 83669
Phone
(208) 286-7967
Fax
(208) 286-9047
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Cory L. Thacker, M.S.
Title
President/Owner
Phone
(208) 286-7967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11104 W. State St.
Star, ID 83669

Mailing address

PO Box 545
Star, ID 83669-0545
Phone (208) 286-7967

National Provider Directory

National Provider Directory
Tax ID family
Allied Mental Health Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1659566727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836690545",
            "telephone_number": "208-286-7967",
            "fax_number": "208-286-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W. STATE ST.",
            "city": "STAR",
            "state": "ID",
            "postal_code": "83669",
            "telephone_number": "208-286-7967",
            "fax_number": "208-286-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MENTAL HEALTH SERVICES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "208-286-7967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.