MODERN PSYCHOTHERAPY SERVICES
NPI 1649674888
Counselor - Professional in Eagle, ID

Q: What is Modern Psychotherapy Services's NPI number?

The NPI number for Modern Psychotherapy Services is 1649674888. It was assigned to this organization in the NPPES registry on October 17, 2014.

Q: What is Modern Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 17, 2014

4875 W ATHENS CT, EAGLE, ID 83616(208) 731-7646 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Modern Psychotherapy Services NPPES

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

MODERN PSYCHOTHERAPY SERVICES (NPI 1649674888) is a healthcare organization registered as a professional in Eagle, Idaho and active in the NPI registry since October 2014. The organization lists Diana Lincoln-haye, President, as its authorized official.

NPPES Registry Identity

NPI1649674888

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameMODERN PSYCHOTHERAPY SERVICES

Location Address4875 W ATHENS CTEagle, ID 83616-5138

Mailing Address4875 W Athens CtEagle, ID 83616-5138 · (208) 731-7646

Phone(208) 731-7646

Organization SubpartNo

Authorized OfficialDiana Lincoln-hayePresident · (208) 731-7646

Enumeration DateOctober 17, 2014

✔ NPI 1649674888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-5605

4875 W ATHENS CT, Eagle, ID 83616

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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

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 Modern Psychotherapy Services's NPI number?

The NPI number for Modern Psychotherapy Services is 1649674888. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Modern Psychotherapy Services located?

Modern Psychotherapy Services is located at 4875 W Athens Ct, Eagle, ID 83616. The listed phone number is (208) 731-7646.

What is Modern Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Modern Psychotherapy Services was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.