Alpine Ridge Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC

Practice address

1464 N 805 E
Shelley, ID 83274-5049

Phone

(208) 728-7750

Fax

(208) 728-7750

NPI assigned

May 12, 2025

Last updated

May 12, 2025By 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

Dr. Michael Robert Thomas, PHDNPI 1568826998

Title

Clinical Psychologist

Phone

(208) 728-7750

Specialties & licenses 1

Addresses

Locations

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.

• Michael Robert Thomas, PHD

  • Clinical Psychologist
  • Idaho Falls, ID
  • NPI 1568826998
  NPD Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1942090865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 CHANNING WAY # 119",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048034",
            "telephone_number": "208-728-7750",
            "fax_number": "208-728-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 N 805 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745049",
            "telephone_number": "208-728-7750",
            "fax_number": "208-728-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-728-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All About Your Transportation
• All Access Therapy Inc
• Timothy Elray Allen, PHARM D
• Alpine Acres Management LLC
• William Arnell, DPT
• Aspen Counseling
• Bingham Memorial Hospital (Bingham Memorial Physicians and Surgeons Clinic of Shelley)
• Suzanna Marie Bird
• Joshua Darwin Bischoff, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.