Panhandle Special Needs, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1PSNI065 Issued in ID

Legal business name

PANHANDLE SPECIAL NEEDS, INC.

Practice address

1424 N Boyer Ave
Sandpoint, ID 83864-2218

Phone

(208) 263-7022

Fax

(208) 265-0176

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Trinity Lynn Nicholson, B.A.

Title

Co-Administrator

Phone

(208) 263-7022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PSNI Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patsy Botoms, N/A

  • Interpreter
  • Sandpoint, ID
  • NPI 1700316007
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841414604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N BOYER AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642218",
            "telephone_number": "208-263-7022",
            "fax_number": "208-265-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N BOYER AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642218",
            "telephone_number": "208-263-7022",
            "fax_number": "208-265-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE SPECIAL NEEDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "208-263-7022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "1PSNI065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024651",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSNI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah Moore Osborn, LCSW
• Jennifer Elizabeth Ott, LCPC
• Lisa L Owens
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• Panhandle Empowerment & Healing, LLC
• Panhandle Support Services, LLC
• Paper Cranes Therapy
• Patricia Ann Morgan (Sleepro)
• Cassie Marguerite Peck, LCSW-33434
• Pend Oreille Midwifery Services

• Developmentally Disabled Services Day Training Agency in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Developmentally Disabled Services Day Training Agency 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.