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IDAHO DEPT OF HEALTH & WELFARE AMHCALPGREG3
NPI 1104004928
Psychologist - Prescribing (Medical) in Caldwell, ID

Active since February 04, 2008
3402 FRANKLIN RD, CALDWELL, ID 83605(208) 459-0092(208) 454-7714 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Dept Of Health & Welfare Amhcalpgreg3 NPPES

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

IDAHO DEPT OF HEALTH & WELFARE AMHCALPGREG3 (NPI 1104004928) is a healthcare organization registered as a prescribing (medical) in Caldwell, Idaho and active in the NPI registry since February 2008. The organization lists Todd L Hurt, Field Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1104004928
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE AMHCALPGREG3
Location Address3402 FRANKLIN RDCaldwell, ID 83605-6932
Mailing Address3402 Franklin RdCaldwell, ID 83605-6932 · (208) 459-0092 · Fax (208) 454-7714
Phone(208) 459-0092
Fax(208) 454-7714
Organization SubpartNo
Authorized OfficialTodd L HurtField Operations Manager · (208) 455-7057
Enumeration DateFebruary 4, 2008
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1104004928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
3402 FRANKLIN RD, Caldwell, ID 83605
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Other Identifiers 3

OtherHW298Blue Cross Of Idaho
Other000010027633ID · Blueshield
Medicaid8076191ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

TARA BYRNE LMSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 608-8839
IDAHODHWBH3 CALD AMH PSR
Clinic/Center (Mental Health (Including Community Mental Health Center))
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
GLORIA TAGUE LSW
Social Worker
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
MRS. AMANDA KAY GOLDSTON LCSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7045
IDAHODHWBH3 CALDWELL CMH PSR
Clinic/Center (Rehabilitation)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
MS. ASHA SHARP LMSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7033
MARK KEYLOR LMSW
Social Worker
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7061
IDAHO DEPARTMENT OF HEALTH & WELFARE
Clinic/Center (Adolescent and Children Mental Health)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092

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 Idaho Dept Of Health & Welfare Amhcalpgreg3's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Amhcalpgreg3 is 1104004928. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Idaho Dept Of Health & Welfare Amhcalpgreg3 located?

Idaho Dept Of Health & Welfare Amhcalpgreg3 is located at 3402 Franklin Rd, Caldwell, ID 83605. The listed phone number is (208) 459-0092.

What is Idaho Dept Of Health & Welfare Amhcalpgreg3's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Amhcalpgreg3 was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.