HIGH TIDE PSYCHIATRY, PLLC
NPI 1023762119
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID
NPI Status: Active since February 08, 2022
Contact Information
1500 PANCHERI DR STE 4
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 557-3870
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
About HIGH TIDE PSYCHIATRY, PLLC
This page provides the complete NPI Profile along with additional information for High Tide Psychiatry, Pllc, a provider established in Idaho Falls, Idaho operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1023762119 assigned on February 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amber Jane Van Sickle-birch Pmhnp (Owner)
- NPI
- 1023762119
- Provider Name
- HIGH TIDE PSYCHIATRY, PLLC
- Entity Type
- Organization
- Location Address
- 1500 PANCHERI DR STE 4 IDAHO FALLS, ID 83402
- Location Phone
- (208) 557-3870
- Mailing Address
- 1500 PANCHERI DR STE 4 IDAHO FALLS, ID 83402
- Mailing Phone
- (208) 557-3870
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2022
- Last Update Date
- 02-08-2022
- Code Navigator
A nurse practitioner (NP) like High Tide Psychiatry, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for HIGH TIDE PSYCHIATRY, PLLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 7 | 6 | 2 | 1 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 14 | 6 | 4 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 4 + 6 + 4 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1023762119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
ROBERT GREENIG PMHNP-BC
Nurse Practitioner
(Psychiatric/Mental Health)
1500 PANCHERI DR STE 4
IDAHO FALLS, ID
ZIP 83402
AMBER JANE VAN SICKLE-BIRCH PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
1500 PANCHERI DR STE 4
IDAHO FALLS, ID
ZIP 83402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023762119, enumerated as an "organization" on February 08, 2022.
The provider is located at 1500 PANCHERI DR STE 4 IDAHO FALLS, ID 83402 and the phone number is (208) 557-3870.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to verify.
