Center for Excellence, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY-328 Issued in ID

Legal business name

CENTER FOR EXCELLENCE, P.C.

Practice address

10713 N Strahorn Rd
Hayden, ID 83835-9824

Phone

(208) 661-8743

NPI assigned

Sep 7, 2010

Last updated

Mar 13, 2017By 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. Douglas L. Ratelle, PH.D.

Title

President

Phone

(208) 661-8743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1942517388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 N STRAHORN RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 N STRAHORN RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359824",
            "telephone_number": "208-661-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EXCELLENCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "RATELLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-661-8743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "PSY-328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hayden, ID
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• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.