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FULL SPECTRUM THERAPY
NPI 1790668069
Psychologist - Clinical Child & Adolescent in Pocatello, ID

Active since July 25, 2025
805 N ARTHUR AVE, POCATELLO, ID 83204(208) 274-5925 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Full Spectrum Therapy NPPES

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

FULL SPECTRUM THERAPY (NPI 1790668069) is a healthcare organization registered as a clinical child & adolescent in Pocatello, Idaho and active in the NPI registry since July 2025. The organization lists Jenn Gallup, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1790668069
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameFULL SPECTRUM THERAPY
Location Address805 N ARTHUR AVEPocatello, ID 83204-2803
Mailing Address805 N Arthur AvePocatello, ID 83204-2803 · (208) 274-5925
Phone(208) 274-5925
Organization SubpartNo
Authorized OfficialJenn GallupPsychologist · (208) 406-2492
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1790668069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
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.
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
805 N ARTHUR AVE, Pocatello, ID 83204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

BONNIE PORTER BA
Community Health Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
MRS. SOPHIA RAYE HARMISON
Counselor (Mental Health)
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
SHERON DIANA BERG MSW
Social Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
KELLY MITTEN MOELLMER
Social Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
ROBERT BLEVIN
Counselor
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
JULIE MARIAN PERKINS
Community Health Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
HAYLEY NICOLE CHRISTENSEN
Social Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144
JESSICA FULLMER
Community Health Worker
805 N ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 760-2144

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 Full Spectrum Therapy's NPI number?

The NPI number for Full Spectrum Therapy is 1790668069. It was assigned to this organization in the NPPES registry on July 25, 2025.

Where is Full Spectrum Therapy located?

Full Spectrum Therapy is located at 805 N Arthur Ave, Pocatello, ID 83204. The listed phone number is (208) 274-5925.

What is Full Spectrum Therapy'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 Full Spectrum Therapy was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.