MELINDA L JORGENSEN (NPI# 1053556258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053556258 |
| Entity Type | Individual |
| Full Name | MELINDA L JORGENSEN |
| Credential | PHD |
| Practice Address |
3417 Merlin Dr Ste 102 Idaho Falls ID 83404-7430 |
| Mailing Address |
Po Box 4285 Pocatello ID 83205-4285 |
| Practice Telephone | 2085520850 |
| Practice Fax Number | 2085295011 |
| Mailing Telephone | 2082361600 |
| Mailing Fax Number | 2082366695 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2010-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
3417 MERLIN DR STE 102 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802023 | Maxwell Moholy | Psychologist | 3417 Merlin Dr, Suite 102, Idaho Falls, ID 83404-7430 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815164 | Amanda Catherine Kearns | Psychologist | 1612 Kearney St, Idaho Falls, ID 83401-3055 | 2020-06-11 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1336378447 | Douglas E. Craig | Psychologist | 3670 S 25th E, #2, Idaho Falls, ID 83404-4956 | 2009-07-09 |
| 1487800470 | Patterson Compassionate Counseling, LLC | Psychologist | 414 Shoup Ave, Suite 111, Idaho Falls, ID 83402-3603 | 2008-08-11 |
| 1326106238 | Free Spirit Counseling & Consulting | Psychologist | 548 Lomax Street, Idaho Falls, ID 83401 | 2006-12-04 |
| 1588682652 | Lavonna D Patterson | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2006-07-17 |
| 1942836911 | Amerihealth Inc | Psychologist | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-03-20 |
| 1245706274 | Joel Bocanegra | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2018-10-17 |
| 1790144657 | Brandon Derrick Borchman | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-02-19 |
| 1063802023 | Maxwell Moholy | Psychologist | 3417 Merlin Dr, Suite 102, Idaho Falls, ID 83404-7430 | 2015-01-29 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MELINDA L JORGENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.