CANVI BEHAVIORAL HEALTH PLLC - NPI 1144984873 - Nurse Practitioner in Chubbuck, ID

Q: What is Canvi Behavioral Health PLLC's NPI number?

The NPI number for Canvi Behavioral Health PLLC is 1144984873. It was assigned to this organization in the NPPES registry on October 28, 2021.

Q: What is Canvi Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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About Canvi Behavioral Health Pllc NPPES

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

CANVI BEHAVIORAL HEALTH PLLC (NPI 1144984873) is a healthcare organization registered as a psychiatric/mental health in Chubbuck, Idaho and active in the NPI registry since October 2021. The organization maintains 4 additional practice locations and lists Krista Batts, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1144984873

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCANVI BEHAVIORAL HEALTH PLLC

Location Address4650 HAWTHORNE RD STE 3BChubbuck, ID 83202-2376

Mailing AddressPo Box 2516Pocatello, ID 83206-2516 · (208) 380-4978 · Fax (208) 648-4063

Phone(208) 252-5621

Fax(208) 648-4167

Organization SubpartNo

Authorized OfficialKrista BattsContracting Manager · (208) 380-4978

Enumeration DateOctober 28, 2021

Last NPPES UpdateApril 12, 20244 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1144984873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPhysician AssistantTaxonomy 363A00000X

4650 HAWTHORNE RD STE 3B, Chubbuck, ID 83202

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Secondary Practice Locations 4

Location 1347 W Gordon Ave Ste 1Layton, UT 84041-2389 · Phone (801) 896-5341 · Fax (801) 896-5334

Location 2333 W Cedar St Ste 3Pocatello, ID 83201-5045 · Phone (208) 252-5621 · Fax (208) 648-4167

Location 31120 Stocks Ave Ste 102Rexburg, ID 83440-3508 · Phone (208) 745-2580 · Fax (208) 648-4167

Location 4476 Heritage Park Blvd Ste 230Layton, UT 84041-5636 · Phone (801) 896-5345 · Fax (801) 896-5334

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 18

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

BRANDY LYNN GILEA MS-SLP

Speech-Language Pathologist