1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Psychologist
  6. NPI Profile

BIG LAKE PSYCHOLOGICAL SERVICES, PC
NPI 1508100876
Psychologist - Clinical Child & Adolescent in Coeur D Alene, ID

Active since November 26, 2012
1809 E SHERMAN AVE, COEUR D ALENE, ID 83814(208) 665-9611 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Big Lake Psychological Services, Pc NPPES

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

BIG LAKE PSYCHOLOGICAL SERVICES, PC (NPI 1508100876) is a healthcare organization registered as a clinical child & adolescent in Coeur D Alene, Idaho and active in the NPI registry since November 2012. The organization lists Heather Rehil, Chief Psychologist, as its authorized official.

NPPES Registry Identity

NPI1508100876
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameBIG LAKE PSYCHOLOGICAL SERVICES, PC
Location Address1809 E SHERMAN AVECoeur D Alene, ID 83814-5873
Mailing Address1104 W Ironwood DrCoeur D Alene, ID 83814-2605 · (208) 550-3165
Phone(208) 665-9611
Organization SubpartNo
Authorized OfficialHeather RehilChief Psychologist · (208) 550-3165
Enumeration DateNovember 26, 2012
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1508100876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in ID · PSY-202671
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1809 E SHERMAN AVE, Coeur D Alene, ID 83814
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MS. ANDREA KAYE RICE LPC
Counselor (Professional)
1809 E SHERMAN AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 665-9612
BREVITY TREATMENT SERVICES
Counselor (Professional)
1809 E SHERMAN AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 680-9042
MRS. CHRISTINA M WESTBERG LMSW, GC-C
Counselor (Mental Health)
1809 E SHERMAN AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 665-9612

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 Big Lake Psychological Services, PC's NPI number?

The NPI number for Big Lake Psychological Services, PC is 1508100876. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Big Lake Psychological Services, PC located?

Big Lake Psychological Services, PC is located at 1809 E Sherman Ave, Coeur D Alene, ID 83814. The listed phone number is (208) 665-9611.

What is Big Lake Psychological Services, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Big Lake Psychological Services, PC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.