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CAMERON STALEY PHD LLC
NPI 1295589935
Clinic/Center - Adult Mental Health in Chubbuck, ID

Active since April 17, 2024
5026 CASSIE DR, CHUBBUCK, ID 83202(801) 644-2006 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cameron Staley Phd Llc NPPES

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

CAMERON STALEY PHD LLC (NPI 1295589935) is a healthcare organization registered as an adult mental health in Chubbuck, Idaho and active in the NPI registry since April 2024. The organization lists Cameron Staley, Manager, as its authorized official.

NPPES Registry Identity

NPI1295589935
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCAMERON STALEY PHD LLC
Location Address5026 CASSIE DRChubbuck, ID 83202-5252
Mailing Address5026 Cassie DrChubbuck, ID 83202-5252 · (801) 644-2006
Phone(801) 644-2006
Organization SubpartNo
Authorized OfficialCameron StaleyManager · (208) 269-5475
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1295589935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5026 CASSIE DR, Chubbuck, ID 83202
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Other Providers at the Same Location NPPES

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

DR. CAMERON STALEY PSYCHOLOGIST
Psychologist (Clinical)
5026 CASSIE DR
CHUBBUCK, ID 83202
Bannock County (801) 644-2006

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 Cameron Staley Phd LLC's NPI number?

The NPI number for Cameron Staley Phd LLC is 1295589935. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Cameron Staley Phd LLC located?

Cameron Staley Phd LLC is located at 5026 Cassie Dr, Chubbuck, ID 83202. The listed phone number is (801) 644-2006.

What is Cameron Staley Phd LLC'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 Cameron Staley Phd LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.