ISU COMMUNITY PSYCHIATRIC CENTER
NPI 1982475091
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pocatello, ID

Active since January 09, 2024
421 MEMORIAL DR, POCATELLO, ID 83201(208) 373-1743(833) 499-1813 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Isu Community Psychiatric Center NPPES

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

ISU COMMUNITY PSYCHIATRIC CENTER (NPI 1982475091) is a healthcare organization registered as a mental health (including community mental health center) in Pocatello, Idaho and active in the NPI registry since January 2024. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1982475091
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address421 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address921 S 8th Ave Stop 8311Pocatello, ID 83201-5377 · (208) 373-1743 · Fax (833) 499-1813
Fax(833) 499-1813
Organization SubpartNo
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateJanuary 9, 2024
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1982475091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
421 MEMORIAL DR, Pocatello, ID 83201

Other Names 1

Other NameIsu Community Psychiatric Center

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)

Isu Community Psychiatric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Isu Community Psychiatric Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Psychiatry12
Qualified Audiologist11
Physical Therapist in Private Practice7
Nurse Practitioner5
Clinical Social Worker2
Occupational Therapist in Private Practice2
Qualified Speech Language Pathologist2
Clinical Psychologist1
3 other specialties3

Nearest to this location (20)

See all 45
Mental Health Counselor
NPI 1013564103
421 MEMORIAL DR
Pocatello, ID 83201
(208) 282-2434
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1013931450
650 MEMORIAL DR BLDG 68
Pocatello, ID 83209
(208) 282-2556
✔ Accepts Medicare0.1 mi
Qualified Audiologist
NPI 1548548589
650 MEMORIAL DRIVE BUILDING 68
Pocatello, ID 83209
(208) 282-3495
✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1487689683
IDAHO STATE UNIVERSITY 921 S. 8TH STOP 8116
Pocatello, ID 83209
(208) 282-3747
0.4 mi
Qualified Audiologist
NPI 1447503024
921 S 8TH AVE STOP 8116
Pocatello, ID 83209
(208) 282-3495
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1881428688
1400 E TERRY DR BLDG 63
Pocatello, ID 83209
(208) 282-2590
0.8 mi
Mass Immunization Roster Biller
NPI 1568746782
990 S CESAR CHAVEZ AVE
Pocatello, ID 83209
(208) 282-3407
0.8 mi
Physical Therapist in Private Practice
NPI 1952733552
1400 E TERRY DR BULIDING 63 FLOOR 2
Pocatello, ID 83209
(208) 282-2590
✔ Accepts Medicare0.8 mi
Registered Dietitian or Nutrition Professional
NPI 1952812067
921 S 8TH AVE STOP 8117
Pocatello, ID 83209
(208) 530-3176
0.9 mi
Qualified Audiologist
NPI 1699869354
921 S 8TH AVE MAIL STOP 8116
Pocatello, ID 83209
(208) 282-3813
✔ Accepts Medicare0.9 mi
Qualified Speech Language Pathologist
NPI 1740436302
1110 CALL CREEK DR STE 7
Pocatello, ID 83201
(208) 410-7670
1.8 mi
Clinical Social Worker
NPI 1841654381
720 EAST ALICE
Blackfoot, ID 83221
(208) 705-6347
✔ PECOS✔ Accepts Medicare22 mi
Occupational Therapist in Private Practice
NPI 1295135028
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 521-3253
✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1831764497
295 N 3855 E
Rigby, ID 83442
(208) 745-5205
✔ PECOS61 mi
Nurse Practitioner
NPI 1619595071
120 E HOWARD ST
Driggs, ID 83422
(208) 354-2383
✔ PECOS✔ Accepts Medicare89 mi
Psychiatry
NPI 1457499113
228 SHOUP AVE W
Twin Falls, ID 83301
(208) 814-7900
✔ PECOS107 mi
Qualified Audiologist
NPI 1063895126
5872 S 900 E STE 175
Salt Lake City, UT 84121
(801) 268-3277
156 mi
Nurse Practitioner
NPI 1235654955
500 W FORT ST # 111
Boise, ID 83702
(208) 422-1000
✔ PECOS197 mi
Clinical Psychologist
NPI 1881972610
412 S 3RD ST APT 604
Boise, ID 83702
(503) 927-2155
✔ PECOS197 mi
Qualified Speech Language Pathologist
NPI 1275170383
79 N PLUMMER RD
Star, ID 83669
(208) 391-2773
212 mi
See all 45 clinicians

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1982475091. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is also known as Isu Community Psychiatric Center.

Where is Idaho State University located?

Idaho State University is located at 421 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 373-1743.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Idaho State University enrolled in Medicare?

Yes. Idaho State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Idaho State University. 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. The largest specialties are Psychiatry (12), Qualified Audiologist (11) and Physical Therapist in Private Practice (7). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho State University accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Idaho State University 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 Idaho State University was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.