NPIMap

Organization Active NPI

Family Care Center

  • Child & Adolescent Psychiatry Physician
  • Idaho Falls, ID
National Provider Identifier
1992902530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD Issued in ID
Legal business name
FAMILY CARE CENTER
Practice address
1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375
Phone
(208) 529-8832
Fax
(208) 522-8725
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thana Singarajah
Title
Executive Director
Phone
(208) 529-8832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD ID Primary

Addresses

Primary practice location

1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375

Mailing address

1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375
Phone (208) 529-8832

National Provider Directory

National Provider Directory
Tax ID family
Family Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1740 E 17th St
Ste B
Idaho Falls, ID 83404
Phone (208) 529-8832

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992902530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-529-8832",
            "fax_number": "208-522-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-529-8832",
            "fax_number": "208-522-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGARAJAH",
        "authorized_official_first_name": "THANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-529-8832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ID",
            "license": "MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.