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IDAHO DEPT OF HEALTH & WELFARE REG 6 CMH POC CLINIC
NPI 1780715045
Clinic/Center - Adolescent and Children Mental Health in Pocatello, ID

Active since March 08, 2007
421 MEMORIAL DR, POCATELLO, ID 83201(208) 234-7900(208) 236-6328 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 6 CMH POC CLINIC (NPI 1780715045) is a healthcare organization registered as an adolescent and children mental health in Pocatello, Idaho and active in the NPI registry since March 2007. The organization lists Ritchie Weers, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1780715045
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 6 CMH POC CLINIC
Location Address421 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 234-7900 · Fax (208) 236-6328
Phone(208) 234-7900
Fax(208) 236-6328
Organization SubpartNo
Authorized OfficialRitchie WeersClinical Supervisor · (208) 234-7900
Enumeration DateMarch 8, 2007
Last NPPES UpdateOctober 22, 2010
✔ NPI 1780715045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
421 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 3

Other000010019402ID · Blue Shield
Medicaid8073651ID
OtherHW157ID · Blue Cross Of Idaho

Other Providers at the Same Location NPPES 20

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

RACHEL MILLER
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7962
BRAUN INSLEE LMHC, LPC
Counselor (Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-2434
MICHELE JOANN OSMOND LCPC
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7917
JESSICA STURMAN
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7939
DANSON S. HALL DPT
Physical Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7928
IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6
Early Intervention Provider Agency
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
ANNE MILLER LCSW
Social Worker (Clinical)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
Clinic/Center (Mental Health (Including Community Mental Health Center))
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900

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 Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is 1780715045. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic located?

Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is located at 421 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-7900.

What is Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.