PSYCHOLOGY CENTER OF IDAHO FALLS
NPI 1780010090
Clinical Neuropsychologist in Idaho Falls, ID

Active since September 18, 2013
3670 S 25TH E STE 2, IDAHO FALLS, ID 83404(208) 522-3404(208) 524-1093 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychology Center Of Idaho Falls NPPES

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

PSYCHOLOGY CENTER OF IDAHO FALLS (NPI 1780010090) is a healthcare organization registered as a clinical neuropsychologist in Idaho Falls, Idaho and active in the NPI registry since September 2013. The organization lists Carol Vernon Anderson, President, Cliical Neuropsychologis, as its authorized official.

NPPES Registry Identity

NPI1780010090
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NamePSYCHOLOGY CENTER OF IDAHO FALLS
Location Address3670 S 25TH E STE 2Idaho Falls, ID 83404-4956
Mailing Address3670 S 25th E Ste 2Idaho Falls, ID 83404-4956 · (208) 522-3404 · Fax (208) 524-1093
Fax(208) 524-1093
Organization SubpartNo
Authorized OfficialCarol Vernon AndersonPresident, Cliical Neuropsychologis · (208) 522-3404
Enumeration DateSeptember 18, 2013
✔ NPI 1780010090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in ID · 202288
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3670 S 25TH E STE 2, Idaho Falls, ID 83404

Other Identifiers 1

Medicare UPIN1684801

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychology Center Of Idaho Falls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Psychology Center Of Idaho Falls, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1396878401
2060 E 25TH ST
Idaho Falls, ID 83404
(208) 522-3404
✔ PECOS0.8 mi
Clinical Psychologist
NPI 1306017710
1329 AMMON PARK DR
Ammon, ID 83406
(208) 450-5308
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychology Center Of Idaho Falls's NPI number?

The NPI number for Psychology Center Of Idaho Falls is 1780010090. It was assigned to this organization in the NPPES registry on September 18, 2013.

Where is Psychology Center Of Idaho Falls located?

Psychology Center Of Idaho Falls is located at 3670 S 25th E Ste 2, Idaho Falls, ID 83404. The listed phone number is (208) 522-3404.

What is Psychology Center Of Idaho Falls's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Psychology Center Of Idaho Falls enrolled in Medicare?

Yes. Psychology Center Of Idaho Falls is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychology Center Of Idaho Falls?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Psychology Center Of Idaho Falls. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychology Center Of Idaho Falls accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Psychology Center Of Idaho Falls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psychology Center Of Idaho Falls was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.