Organization Active NPI

Full Spectrum Therapy

  • Psychologist
  • Pocatello, ID
National Provider Identifier
1700759255
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FULL SPECTRUM THERAPY
Practice address
805 N Arthur Ave
Pocatello, ID 83204-2803
Phone
(208) 274-5925
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mrs. Sophia Raye Harmison, MSWNPI 1063380848
Title
Counselor
Phone
(307) 248-1540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

805 N Arthur Ave
Pocatello, ID 83204-2803

Mailing address

5136 Henry Ave
Chubbuck, ID 83202-2207
Phone (307) 248-1540

National Provider Directory

National Provider Directory

Locations

805 N Arthur Ave
Pocatello, ID 83204
Phone (208) 274-5925

Practitioners & affiliated clinicians

Practitioners 2

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": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1700759255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 HENRY AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022207",
            "telephone_number": "307-248-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042803",
            "telephone_number": "208-274-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "HARMISON",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "307-248-1540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.