Psychological Assessment Specialists

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL ASSESSMENT SPECIALISTS

Practice address

1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373

Phone

(208) 233-0150

Fax

(208) 233-0159

NPI assigned

Apr 2, 2007

Last updated

Dec 8, 2024By 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

John L. Christensen, PHDNPI 1124175898

Title

Owner/Psychologist

Phone

(208) 233-0150

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Psychological Assessment Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychological Assessment Specialists

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1023497013
  NPD tax ID

Practitioners 3

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.

• John L. Christensen, PHD

  • Clinical Psychologist
  • Pocatello, ID
  • NPI 1124175898
  Medicare reassignment Care Compare group Authorized official
• Pamela L. Davies, LCPC

  • Professional Counselor
  • Pocatello, ID
  • NPI 1538261169
  Medicare reassignment Care Compare group NPD
• Charles William Jenks

  • Counselor
  • Pocatello, ID
  • NPI 1295145985
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1922129840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 YELLOWSTONE AVE STE C5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014373",
            "telephone_number": "208-233-0150",
            "fax_number": "208-233-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 YELLOWSTONE AVE STE C5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014373",
            "telephone_number": "208-233-0150",
            "fax_number": "208-233-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-233-0150",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth
• Prohealth Home Care Services, Inc.
• Prosper Health LLC
• Psychiatry-Ect, PLLC
• Psychological Assessment Specialists
• Brooke Pugmire, PHARMD
• Joshua Simms Pulliam, PNP-PC
• Puls LLC
• Jennifer W. Putnam, M.S. CCC-SLP
• Lorinda Pyne

• Clinical Psychologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.