Ideal Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IDEAL MENTAL HEALTH, LLC

Practice address

16 12TH Ave S
Suite 216
Nampa, ID 83651-3936

Phone

(208) 468-1511

Fax

(208) 468-1599

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Irma Molina Ruby, MSW

Title

Manager

Phone

(208) 468-1511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770646820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 12TH AVE S",
            "address_2": "SUITE 216",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513936",
            "telephone_number": "208-468-1511",
            "fax_number": "208-468-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 12TH AVE S",
            "address_2": "SUITE 216",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513936",
            "telephone_number": "208-468-1511",
            "fax_number": "208-468-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "MOLINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-468-1511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.