1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Clinic Center
  6. NPI Profile

BRANNON & BRANNON PSYCHOLOGICAL SERVICES PA
NPI 1023141116
Clinic/Center - Adult Mental Health in Rexburg, ID

Active since March 14, 2007
534 TREJO STREET, SUITE 100, REXBURG, ID 83440(208) 356-3776(208) 356-9498 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Brannon & Brannon Psychological Services Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANNON & BRANNON PSYCHOLOGICAL SERVICES PA (NPI 1023141116) is a healthcare organization registered as an adult mental health in Rexburg, Idaho and active in the NPI registry since March 2007. The organization lists James M Brannon, Secretary, as its authorized official.

NPPES Registry Identity

NPI1023141116
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBRANNON & BRANNON PSYCHOLOGICAL SERVICES PA
Location Address534 TREJO STREET, SUITE 100Rexburg, ID 83440
Mailing Address534 Trejo Street, Suite 100Rexburg, ID 83440 · (208) 356-3776 · Fax (208) 356-9498
Phone(208) 356-3776
Fax(208) 356-9498
Organization SubpartNo
Authorized OfficialJames M BrannonSecretary · (208) 356-3776
Enumeration DateMarch 14, 2007
Last NPPES UpdateOctober 29, 2019
✔ NPI 1023141116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
534 TREJO STREET, Rexburg, ID 83440
Open in Google Maps ↗

Other Identifiers 1

Medicaid002803600ID

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARILYN E BRANNON PH.D.
Psychologist (Counseling)
534 TREJO STREET, SUITE 100
REXBURG, ID 83440
Madison County (208) 356-3776
JAMES M BRANNON ED.D.
Psychologist (Counseling)
534 TREJO STREET, SUITE 100
REXBURG, ID 83440
Madison County (208) 359-0556
MINDFUL MOOD PSYCHIATRY, PLLC
Clinic/Center (Adult Mental Health)
534 TREJO STREET, SUITE 100
REXBURG, ID 83440
Madison County (208) 206-7066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brannon & Brannon Psychological Services PA's NPI number?

The NPI number for Brannon & Brannon Psychological Services PA is 1023141116. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Brannon & Brannon Psychological Services PA located?

Brannon & Brannon Psychological Services PA is located at 534 Trejo Street Suite 100, Rexburg, ID 83440. The listed phone number is (208) 356-3776.

What is Brannon & Brannon Psychological Services PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Brannon & Brannon Psychological Services PA was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.