About Face Mental Rehabilitation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABOUT FACE MENTAL REHABILITATION

Practice address

7421 E Saxton LN
Nampa, ID 83687-9483

Phone

(208) 412-3142

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Richard Dayle Kirkendall, MA, BS, AS

Title

Owner

Phone

(208) 412-3142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1699017806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 E SAXTON LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879483",
            "telephone_number": "208-412-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 E SAXTON LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879483",
            "telephone_number": "208-412-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT FACE MENTAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "KIRKENDALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-412-3142",
        "authorized_official_credential": "MA, BS, AS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.