NPIMap

Organization Active NPI

Mountain View Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1992035364
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOUNTAIN VIEW BEHAVIORAL HEALTH, LLC
Practice address
6213 N Cloverdale Rd Ste 115
Boise, ID 83713-4972
Phone
(208) 322-5354
NPI assigned
Jan 7, 2010
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Tatiana M. Weeks
Title
Credentialing
Phone
(208) 322-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

6213 N Cloverdale Rd Ste 115
Boise, ID 83713-4972

Mailing address

3138 W Mirage CT
Meridian, ID 83646-4127
Phone (208) 861-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131230000613 ID Part B Supplier - Clinic/Group Practice 7315174059 Receives reassigned benefits from 7 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Behavioral Health LLC2 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.

Locations

6213 N Cloverdale Rd
Ste 115
Boise, ID 83713
Phone (208) 322-5354

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1992035364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 W MIRAGE CT",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464127",
            "telephone_number": "208-861-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 N CLOVERDALE RD STE 115",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837134972",
            "telephone_number": "208-322-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "208-322-5354"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.