CALDWELL PSYCHOLOGICAL SERVICES P.A.
NPI 1104083724
Community/Behavioral Health in Caldwell, ID
About Caldwell Psychological Services P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALDWELL PSYCHOLOGICAL SERVICES P.A. (NPI 1104083724) is a healthcare organization registered as a community/behavioral health in Caldwell, Idaho and active in the NPI registry since May 2008. The organization lists Phares Lindeman Book, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caldwell Psychological Services P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Caldwell Psychological Services P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Caldwell Psychological Services P.A.'s NPI number?
The NPI number for Caldwell Psychological Services P.A. is 1104083724. It was assigned to this organization in the NPPES registry on May 21, 2008.
Where is Caldwell Psychological Services P.A. located?
Caldwell Psychological Services P.A. is located at 815 Fillmore, Caldwell, ID 83605. The listed phone number is (208) 459-6962.
What is Caldwell Psychological Services P.A.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Caldwell Psychological Services P.A. enrolled in Medicare?
Yes. Caldwell Psychological Services P.A. is registered in the Medicare PECOS enrollment system.
When is Caldwell Psychological Services P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Caldwell Psychological Services P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Caldwell Psychological Services P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Caldwell Psychological Services P.A. accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Caldwell Psychological Services P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Caldwell Psychological Services P.A. was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Caldwell Psychological Services P.a. · NPI 1104083724
Community/Behavioral Health organization in Caldwell, Idaho. Organization record, active in the CMS NPPES registry since May 21, 2008.
## Identity
- **NPI:** 1104083724 (Entity type: Organization)
- **Enumerated:** May 21, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Phares Book, PSYCHOLOGIST
## Practice location
- **Address:** 815 FILLMORE, Caldwell, ID 83605-4173
- **Phone:** (208) 459-6962 · **Fax:** (208) 459-4476
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2012
- **Other identifiers:** Medicaid 16848280 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1104083724) · Data from the CMS NPPES public registry.