NPIMap

Organization Active NPI

Sensitive Mental Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1790081032
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-999A Issued in ID
Legal business name
SENSITIVE MENTAL HEALTHCARE PLLC
Practice address
7905 N Meadowlark Way
Suite B
Coeur D Alene, ID 83815-5041
Phone
(208) 818-1411
Fax
(208) 772-7677
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Authorized official

Name
Bonnie S Wilson, NP
Title
President
Phone
(208) 818-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NP-999A ID Primary

Addresses

Primary practice location

7905 N Meadowlark Way
Suite B
Coeur D Alene, ID 83815-5041

Mailing address

419 N Brushwood CT
Post Falls, ID 83854-6764
Phone (208) 818-1411

Other identifiers 4

IdentifierTypeStateIssuer
12224429OtherCAQH
036263OtherREGENCE
1790081032MedicaidID
8P321OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1200 W Ironwood Dr
#306
Coeur D Alene, ID 83814
Phone (208) 818-1411

Practitioners & affiliated clinicians

Practitioners 6

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": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1790081032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N BRUSHWOOD CT",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546764",
            "telephone_number": "208-818-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-818-1411",
            "fax_number": "208-772-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSITIVE MENTAL HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-818-1411",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-999A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12224429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "036263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790081032",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8P321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.