New Leaf Behavioral Health

Primary specialty

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

License

NP-1476A Issued in ID

Legal business name

NEW LEAF BEHAVIORAL HEALTH

Practice address

144 Long Island Ave
Twin Falls, ID 83301-3018

Phone

(208) 421-2908

NPI assigned

Oct 5, 2014

Organization subpart

No

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

Authorized official

Name

Shelley Wray, APRN

Title

President

Phone

(208) 421-2908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412467200000",
    "number": "1912300948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LONG ISLAND AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013018",
            "telephone_number": "208-421-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LONG ISLAND AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013018",
            "telephone_number": "208-421-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-421-2908",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "NP-1476A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Christina Nelson, LCPC, ICADC, DBTC
• Philip M Nelson, MD
• Nikolaus Konrad Neudorf, MD
• Neurology of Twin Falls, LLC
• New Horizon Support Services
• Joel Newton, DDS
• Travis James Newton, OTRL CLT
• Paul Wendell Nicholson, CRNA
• Blake Sommers Nielsen, PHARMD
• Brandon Clark Nielsen, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Twin Falls, ID
• Providers in Twin Falls, 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 Oct 5, 2014; 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.