NPIMap

Organization Active NPI

Seasons of Hope Psychological Assesment and Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chubbuck, ID
National Provider Identifier
1740583590
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PSY202423 Issued in ID
Legal business name
SEASONS OF HOPE PSYCHOLOGICAL ASSESMENT AND TREATMENT CENTER
Practice address
4650 Hawthorne Rd
Chubbuck, ID 83202-2376
Phone
(208) 237-9833
Fax
(208) 237-1800
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Heath Jacob Sommer, PHD
Title
Ceo
Phone
(208) 237-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PSY202423 ID Primary

Addresses

Primary practice location

4650 Hawthorne Rd
Chubbuck, ID 83202-2376

Mailing address

4650 Hawthorne Rd
Chubbuck, ID 83202-2376
Phone (208) 237-9833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1740583590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HAWTHORNE RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022376",
            "telephone_number": "208-237-9833",
            "fax_number": "208-237-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HAWTHORNE RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022376",
            "telephone_number": "208-237-9833",
            "fax_number": "208-237-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF HOPE PSYCHOLOGICAL ASSESMENT AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-237-9833",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "PSY202423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.