TELEMENTAL HEALTH LINK LLC
NPI 1437783529
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

NPI Status: Active since February 27, 2020

Contact Information

4055 E BLUEBERRY ST
MERIDIAN, ID
ZIP 83642
Phone: (208) 775-7418
Fax: (208) 647-5008

Get Directions Write a Review

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About TELEMENTAL HEALTH LINK LLC

This page provides the complete NPI Profile along with additional information for Telemental Health Link Llc, a provider established in Meridian, Idaho operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1437783529 assigned on February 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Psychiatric Nurse Practitioner Services Llc. The authorized official of this NPI record is Susan M Derivas Pmhnp-bc (Ao)

NPI
1437783529
Provider Legal Name
TELEMENTAL HEALTH LINK LLC
Other Organization Name
PSYCHIATRIC NURSE PRACTITIONER SERVICES LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4055 E BLUEBERRY ST MERIDIAN, ID 83642
Location Phone
(208) 775-7418
Location Fax
(208) 647-5008
Mailing Address
4055 E BLUEBERRY ST MERIDIAN, ID 83642
Mailing Phone
(208) 600-2060
Mailing Fax
(208) 647-5008
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-27-2020
Last Update Date
02-07-2024
Code Navigator

A nurse practitioner (NP) like Telemental Health Link Llc 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

Secondary Locations

  • 10173 Trailridge Dr
    Shreveport, LA 71106
    (208) 600-2060
  • 5700 Harper Dr NE Ste 210
    Albuquerque, NM 87109
    (866) 589-1753

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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN M DERIVAS PMHNP-BC

Authorized Official Title
AO
Authorized Official Phone
(208) 775-7418

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
396453OSMINDOTHER (01)CHANGE HEALTHCARE MASTER BILLING ID
58322OTHER (01)NMNURSING LICENSE
58322OTHER (01)NMNEW MEXICO APRN CNP LICENSE
020837MEDICAID (05)ID 
13961493OTHER (01)CAQH ID
64266OTHER (01)IDNURSING LICENSE
03962OTHER (01)LANURSING LICENSE
1529234OTHER (01)NCSBN ID
0364158OTHER (01)ANCC CERTIFICATION NO.
363LP0808XOTHER (01)LATAXONOMIES: NURSE PRACTITIONER PSYCH MENTAL HEALTH
P69441OTHER (01)LAUPIN

Reviews for TELEMENTAL HEALTH LINK LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437783529, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 4 + 8 + 6 + 5 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1437783529.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Psychiatric/Mental Health)
4055 E BLUEBERRY ST
MERIDIAN, ID 83642
Nurse Practitioner (Psychiatric/Mental Health)
4055 E BLUEBERRY ST
MERIDIAN, ID 83642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437783529, enumerated as an "organization" on February 27, 2020.

The provider is located at 4055 E BLUEBERRY ST MERIDIAN, ID 83642 and the phone number is (208) 775-7418.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.