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

Active since February 27, 2020
4055 E BLUEBERRY ST, MERIDIAN, ID 83642(208) 775-7418(208) 647-5008 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Oct 10, 2023, Mar 7, 2023 and 4 more (7 updates tracked since 2020).

About Telemental Health Link Llc NPPES

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

TELEMENTAL HEALTH LINK LLC (NPI 1437783529), doing business as Psychiatric Nurse Practitioner Services Llc, is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since February 2020. The organization maintains 2 additional practice locations and lists Susan M Derivas, Ao, as its authorized official.

NPPES Registry Identity

NPI1437783529
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTELEMENTAL HEALTH LINK LLC
Location Address4055 E BLUEBERRY STMeridian, ID 83642-8261
Mailing Address4055 E Blueberry StMeridian, ID 83642-8261 · (208) 600-2060 · Fax (208) 647-5008
Phone(208) 775-7418
Fax(208) 647-5008
Organization SubpartYesParent: Psychiatric Nurse Practitioner Services Llc
Authorized OfficialSusan M DerivasAo · (208) 775-7418
Enumeration DateFebruary 27, 2020
Last NPPES UpdateFebruary 7, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1437783529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4055 E BLUEBERRY ST, Meridian, ID 83642
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Other Names 2

Former Legal Business NamePsychiatric Nurse Practitioner Services Llc
Doing Business AsTelemental Health Link - Nm

Secondary Practice Locations 2

Location 110173 Trailridge DrShreveport, LA 71106-7651 · Phone (208) 600-2060 · Fax (208) 647-5008
Location 25700 Harper Dr NE Ste 210Albuquerque, NM 87109-3541 · Phone (866) 589-1753 · Fax (208) 647-5008

Other Identifiers 11

Other396453OSMINDChange Healthcare Master Billing Id
Other58322NM · Nursing License
Other58322NM · New Mexico Aprn Cnp License
Medicaid020837ID
Other13961493Caqh Id
Other64266ID · Nursing License
Other03962LA · Nursing License
Other1529234Ncsbn Id
Other0364158Ancc Certification No.
Other363LP0808XLA · Taxonomies: Nurse Practitioner Psych Mental Health
OtherP69441LA · Upin

Other Providers at the Same Location NPPES

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

MS. SUSAN M DERIVAS CNP
Nurse Practitioner (Psychiatric/Mental Health)
4055 E BLUEBERRY ST
MERIDIAN, ID 83642
Ada County (208) 775-7418

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 Telemental Health Link LLC's NPI number?

The NPI number for Telemental Health Link LLC is 1437783529. It was assigned to this organization in the NPPES registry on February 27, 2020. The provider is doing business as Telemental Health Link - Nm. The provider was formerly known as Psychiatric Nurse Practitioner Services LLC.

Where is Telemental Health Link LLC located?

Telemental Health Link LLC is located at 4055 E Blueberry St, Meridian, ID 83642. The listed phone number is (208) 775-7418.

What is Telemental Health Link LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Telemental Health Link LLC was last updated on February 7, 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.