PECOS
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
Chubbuck, ID 83202
- Enrolled in PECOS, eligible to order and refer
- Accepts Medicare assignment
- Individual · Psychiatric/Mental Health, Child & Adolescent
Registered Nurse Psychiatric/Mental Health, Child & Adolescent Providers in Idaho
163WP0807X
Idaho
3Providers in state
1Organizations
2Individuals
1/1Page
A directory of 3 health care providers with a business address in Idaho whose primary or secondary taxonomy code is 163WP0807X (Registered Nurse Psychiatric/Mental Health, Child & Adolescent). Of these, 1 are registered as organizations and 2 as individual providers. About taxonomy code 163WP0807X ›
Idaho Registered Nurse Psychiatric/Mental Health, Child & Adolescent Directory
Showing 3 providers on page 1 of 1, sorted by last name / organization name. Use the bar below to filter the providers on this page.
1777 E CLARK ST STE 330
Pocatello, ID 83201
Pocatello, ID 83201
- Enrolled in PECOS, eligible to order and refer
- Accepts Medicare assignment
- Individual · Psychiatric/Mental Health
No PECOS
827 W PRAIRIE AVE
Hayden, ID 83835
Hayden, ID 83835
- Not in PECOS data
- Organization · Multi-Specialty
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Frequently Asked Questions
As of the latest NPPES update, 3 providers in Idaho are registered under taxonomy code 163WP0807X (Registered Nurse Psychiatric/Mental Health, Child & Adolescent). Of these, 1 (33%) are organizations and 2 (67%) are individual providers. Among the individual providers, 2 are female and 0 are male.
Each card shows a PECOS badge based on the CMS Order and Referring dataset. A green PECOS badge means the provider appears in that dataset as eligible to order and refer. Open the provider profile, then verify directly in PECOS before relying on it for claims or credentialing.
The directory is rebuilt from the public NPPES registry, which is refreshed weekly. The NPI data on this page was last updated on June 21, 2026. A provider that recently updated their record may take a short time to appear here.
Provider Composition & Statistics
3Total providers
1Organizations 33%
2Individuals 67%
2Female
Counts reflect Idaho. Gender is recorded for individual providers only. Source: NPPES.
Provider data from the National Plan and Provider Enumeration System (NPPES), refreshed weekly. PECOS status from the CMS Medicare Order and Referring dataset. Taxonomy from the NUCC code set, Version 25.1.
