CLOUD CLINIC MENTAL HEALTH (NPI# 1790171213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790171213 |
| Entity Type | Organization |
| Organization Name | CLOUD CLINIC MENTAL HEALTH |
| Practice Address |
2577 S Five Mile Rd Boise ID 83709-2325 |
| Mailing Address |
3473 E Shergar Ct Meridian ID 83642-3170 |
| Practice Telephone | 2083408597 |
| Mailing Telephone | 2083408597 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | SHANNON BINDER (OWNER) |
| Authorized Official Telephone | 2088916647 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
2577 S FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780040188 | Kailee Kole Mcmahon | Counselor | 2577 S Five Mile Rd, Boise, ID 83709 | 2016-01-14 |
| 1861877417 | Charles Diemart | Counselor | 2577 S Five Mile Rd, Boise, ID 83709-2325 | 2015-07-24 |
| 1306220272 | Tamara Thorne | Counselor | 2577 S Five Mile Rd, Boise, ID 83709-2325 | 2015-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126797 | Avanzar Wellness LLC | Clinic/Center | 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 | 2020-02-19 |
| 1689236648 | Rahmana Elizabeth Sayre | Clinic/Center | 750 E Warm Springs Ave Ste D1, Boise, ID 83712-6457 | 2019-06-30 |
| 1235693284 | Lz Behavioral Health, LLC | Clinic/Center | 6142 W Corporal Ln, Boise, ID 83704-9316 | 2019-01-23 |
| 1750882635 | Melissa Ruth Lcpc LLC | Clinic/Center | 1015 W Hays St Ste 207, Boise, ID 83702-5424 | 2018-02-26 |
| 1598276438 | Booth Psychological Solutions, Pllc | Clinic/Center | 13945 W Wainwright Dr Ste 106, Boise, ID 83713-1925 | 2017-10-18 |
| 1215469440 | Mental Health Solutions LLC | Clinic/Center | 3152 S Bown Way Ste 102, Boise, ID 83706-5456 | 2017-03-28 |
| 1487922902 | Healthy Place Counseling Boise LLC | Clinic/Center | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2011-12-12 |
| 1114058062 | Leyline Advocates, LLC | Clinic/Center | 2210 Broadway Ave Ste 202, Boise, ID 83706-4666 | 2007-03-09 |
| 1083246904 | The Counseling Center At Tree City Church | Clinic/Center | 3852 N Eagle Rd, Boise, ID 83713-0750 | 2020-02-08 |
| 1114568631 | Boise River Counseling | Clinic/Center | 410 S Orchard St Ste 128, Boise, ID 83705-1288 | 2019-10-06 |
| Find all providers in BOISE | ||||
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| 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.