ALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC
NPI 1942090865
Psychologist - Clinical in Shelley, ID

Active since May 12, 2025
1464 N 805 E, SHELLEY, ID 83274(208) 728-7750(208) 728-7750 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alpine Ridge Psychological Services Pllc NPPES

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

ALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC (NPI 1942090865) is a healthcare organization registered as a clinical in Shelley, Idaho and active in the NPI registry since May 2025. The organization lists Michael Robert Thomas, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1942090865
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC
Location Address1464 N 805 EShelley, ID 83274-5049
Mailing Address2184 Channing Way # 119Idaho Falls, ID 83404-8034 · (208) 728-7750 · Fax (208) 728-7750
Fax(208) 728-7750
Organization SubpartNo
Authorized OfficialMichael Robert ThomasClinical Psychologist · (208) 728-7750
Enumeration DateMay 12, 2025
NPPES CertifiedMay 4, 2025
NPI 1942090865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1464 N 805 E, Shelley, ID 83274

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 Alpine Ridge Psychological Services PLLC's NPI number?

The NPI number for Alpine Ridge Psychological Services PLLC is 1942090865. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Alpine Ridge Psychological Services PLLC located?

Alpine Ridge Psychological Services PLLC is located at 1464 N 805 E, Shelley, ID 83274. The listed phone number is (208) 728-7750.

What is Alpine Ridge Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Alpine Ridge Psychological Services PLLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.