TREASURE VALLEY MENTAL HEALTH, LLC (NPI# 1568884013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568884013 |
| Entity Type | Organization |
| Organization Name | TREASURE VALLEY MENTAL HEALTH, LLC |
| Practice Address |
1475 S Tyrell Ln Boise ID 83706-4044 |
| Mailing Address |
335 N Allumbaugh St Boise ID 83704-9208 |
| Practice Telephone | 2083761611 |
| Practice Fax Number | 2086581753 |
| Mailing Telephone | 2083651611 |
| Mailing Fax Number | 2086581753 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | DR. ZANE P NELSON (OWNER/ PROVIDER) |
| Authorized Official Telephone | 2083761611 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
PSY84 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | PTAN | 1680324 | 01 |
| Street Address |
1475 S TYRELL LN |
| City | BOISE |
| State | ID |
| Zip Code | 83706-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164859021 | Treasure Valley | Psychologist | 335 N Allumbaugh St, Boise, ID 83704-9208 | 2013-10-08 |
| 1912238296 | Genesis Counseling and Psychological Services Inc | Psychologist | 1323 S Five Mile Rd, Boise, ID 83709-1306 | 2010-01-26 |
Please comment or provide details below to improve the information on TREASURE VALLEY MENTAL HEALTH, LLC.
| 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.