Psychological Solutions, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-428 Issued in ID

Legal business name

PSYCHOLOGICAL SOLUTIONS, LLC

Practice address

1104 W Ironwood Dr
Coeur D Alene, ID 83814-2605

Phone

(208) 667-2870

Fax

(208) 667-2970

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Stiles Lickey, PSY.D.

Title

Owner

Phone

(208) 667-2870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1912234642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3269",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838353269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142605",
            "telephone_number": "208-667-2870",
            "fax_number": "208-667-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "LICKEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "STILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-2870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services
• Sky R Pruitt, PT
• Susan Pruitt
• Jason Prumatico
• Psych Collective
• Rana Helen Pullom, LCSW
• Douglas W Pulsipher, D.D.S.
• John C Pulsipher, D.D.S.
• Benjamin Eugene Pupo, DC
• Pure Inc

• Clinical Psychologist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.