NPIMap

Organization Active NPI

Idaho Division of Behavioral Health

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1710287149
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IDAHO DIVISION OF BEHAVIORAL HEALTH
Practice address
450 W State St
Boise, ID 83702-6056
Phone
(208) 334-6997
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Kathy Skippen
Title
Program Manager
Phone
(208) 334-6676

Specialties & licenses 1

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

Addresses

Primary practice location

450 W State St
Boise, ID 83702-6056

Mailing address

450 W State St
Boise, ID 83702-6056
Phone (208) 334-6997

Other identifiers 1

IdentifierTypeStateIssuer
8082697MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Idaho Dept of Health Welfare Reg II Amh Grangeville114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

450 W State St
Boise, ID 83702
Phone (208) 334-5952

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1710287149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026056",
            "telephone_number": "208-334-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026056",
            "telephone_number": "208-334-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO DIVISION OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SKIPPEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "208-334-6676"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082697",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.